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ACTIVE MEDICAL CARE LLC
NPI 1073757662
Internal Medicine in Fairfax, VA

Active since April 27, 2009
3930 PENDER DR STE 230, FAIRFAX, VA 22030(703) 620-6221(703) 620-6628 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 3, 2025, Jun 13, 2025, Feb 19, 2025 (3 updates tracked since 2025).

About Active Medical Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ACTIVE MEDICAL CARE LLC (NPI 1073757662) is a healthcare organization registered as an internal medicine in Fairfax, Virginia and active in the NPI registry since April 2009. The organization lists Khairunnisa Masood, Owner, as its authorized official.

NPPES Registry Identity

NPI1073757662
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameACTIVE MEDICAL CARE LLC
Location Address3930 PENDER DR STE 230Fairfax, VA 22030-0992
Mailing Address4879 Mayde CtFairfax, VA 22030-6618 · (703) 620-6221 · Fax (703) 620-6628
Phone(703) 620-6221
Fax(703) 620-6628
Organization SubpartNo
Authorized OfficialKhairunnisa MasoodOwner · (703) 987-8165
Enumeration DateApril 27, 2009
Last NPPES UpdateNovember 3, 20253 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
✔ NPI 1073757662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101237882
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3930 PENDER DR STE 230, Fairfax, VA 22030
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KHAIRUNNISA MASOOD MD
Internal Medicine
3930 PENDER DR STE 230
FAIRFAX, VA 22030
Fairfax City (703) 620-6221
MS. DARCELLA BLAND MSN, FNP-BC, NP-C
Nurse Practitioner (Family)
3930 PENDER DR STE 230
FAIRFAX, VA 22030
Fairfax City (703) 620-6221

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Active Medical Care LLC's NPI number?

The NPI number for Active Medical Care LLC is 1073757662. It was assigned to this organization in the NPPES registry on April 27, 2009.

Where is Active Medical Care LLC located?

Active Medical Care LLC is located at 3930 Pender Dr Ste 230, Fairfax, VA 22030. The listed phone number is (703) 620-6221.

What is Active Medical Care LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Active Medical Care LLC was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.