FAIRFAX FAMILY PRACTICE CENTERS PC
NPI 1205944964
Family Medicine in Herndon, VA

Q: What is Fairfax Family Practice Centers PC's NPI number?

The NPI number for Fairfax Family Practice Centers PC is 1205944964. It was assigned to this organization in the NPPES registry on August 25, 2006.

Q: What is Fairfax Family Practice Centers PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since August 25, 2006

381 ELDEN ST STE 1000, HERNDON, VA 20170(703) 481-1505(703) 742-8793 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 16, 2025, Jun 17, 2025 (2 updates tracked since 2025).

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About Fairfax Family Practice Centers Pc NPPES

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

FAIRFAX FAMILY PRACTICE CENTERS PC (NPI 1205944964) is a healthcare organization registered as a family medicine in Herndon, Virginia and active in the NPI registry since August 2006. The organization lists David W Lee, President, as its authorized official.

NPPES Registry Identity

NPI1205944964

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameFAIRFAX FAMILY PRACTICE CENTERS PC

Location Address381 ELDEN ST STE 1000Herndon, VA 20170-4842

Mailing Address381 Elden St Ste 1000Herndon, VA 20170-4842 · (703) 481-1505 · Fax (703) 742-8793

Phone(703) 481-1505

Fax(703) 742-8793

Organization SubpartNo

Authorized OfficialDavid W LeePresident · (703) 424-6338

Enumeration DateAugust 25, 2006

Last NPPES UpdateFebruary 9, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 9, 2026

✔ NPI 1205944964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

381 ELDEN ST STE 1000, Herndon, VA 20170

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Fairfax Family Practice Centers Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 95 clinicians reassign Medicare billing to Fairfax Family Practice Centers PC, which bills Medicare for the services they deliver. Of these, 10 practice at this address and 62 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Family Practice58

Nurse Practitioner23

Physical Therapist in Private Practice11

Internal Medicine2

Registered Dietitian or Nutrition Professional1

Nearest to this location (20)

See all 95

Rachel Bak, MD

Family Practice

NPI 1891215851

381 ELDEN ST SUITE 1000
Herndon, VA 20170

(703) 481-1505

✔ PECOS✔ Accepts MedicareSame address

Elisabeth Boettke, NP

Nurse Practitioner

NPI 1285587378