Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CONNIE D.LE, M.D., PC.
NPI 1174712301
Internal Medicine in Annandale, VA

Active since October 24, 2007
4208 EVERGREEN LN, SUITE 214, ANNANDALE, VA 22003(703) 642-6633(703) 642-6699 Get Directions Write a Review

NPPES record last updated: October 30, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Connie D.le, M.d., Pc. NPPES

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

CONNIE D.LE, M.D., PC. (NPI 1174712301), doing business as Annandale Primary Care, is a healthcare organization registered as an internal medicine in Annandale, Virginia and active in the NPI registry since October 2007. The organization maintains a secondary practice location in Fairfax and lists Connie D Le, President, as its authorized official.

NPPES Registry Identity

NPI1174712301
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCONNIE D.LE, M.D., PC.
Location Address4208 EVERGREEN LN, SUITE 214Annandale, VA 22003-3235
Mailing Address4208 Evergreen Ln Ste 214Annandale, VA 22003-3254 · (703) 642-6633 · Fax (703) 642-6699
Fax(703) 642-6699
Organization SubpartNo
Authorized OfficialConnie D LePresident · (703) 642-6633
Enumeration DateOctober 24, 2007
Last NPPES UpdateOctober 30, 2026
NPPES CertifiedOctober 30, 2026
✔ NPI 1174712301 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 · 0101237697
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.
4208 EVERGREEN LN, Annandale, VA 22003

Other Names 1

Doing Business AsAnnandale Primary Care

Secondary Practice Location 1

Location 12812 Old Lee Hwy Ste 210AFairfax, VA 22031-4367 · Phone (703) 642-6633 · Fax (703) 642-6699

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Connie D.le, M.d., Pc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Connie D.Le, M.D., PC., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Internal Medicine
NPI 1891886909
4208 EVERGREEN LN STE 214
Annandale, VA 22003
(703) 642-6633
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1235846213
4208 EVERGREEN LN STE 214
Annandale, VA 22003
(703) 642-6633
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1598187700
8988 FERN PARK DR
Burke, VA 22015
(703) 678-6061
✔ PECOS✔ Accepts Medicare4.1 mi
Family Practice
NPI 1912061573
2812 OLD LEE HWY STE 210A
Fairfax, VA 22031
(703) 642-6633
✔ PECOS✔ Accepts Medicare4.1 mi
Nurse Practitioner
NPI 1437975786
4708 TWINBROOK RD
Fairfax, VA 22032
(571) 247-4886
✔ PECOS✔ Accepts Medicare4.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Connie D.Le, M.D., PC.'s NPI number?

The NPI number for Connie D.Le, M.D., PC. is 1174712301. It was assigned to this organization in the NPPES registry on October 24, 2007. The provider is doing business as Annandale Primary Care.

Where is Connie D.Le, M.D., PC. located?

Connie D.Le, M.D., PC. is located at 4208 Evergreen Ln Suite 214, Annandale, VA 22003. The listed phone number is (703) 642-6633.

What is Connie D.Le, M.D., PC.'s specialty?

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

Is Connie D.Le, M.D., PC. enrolled in Medicare?

Yes. Connie D.Le, M.D., PC. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Connie D.Le, M.D., PC.?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Connie D.Le, M.D., PC.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3), Family Practice (1) and Internal Medicine (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Connie D.Le, M.D., PC. was last updated on October 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.