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POTOMAC INTERNAL MEDICINE,PLLC
NPI 1255565339
Family Medicine in Woodbridge, VA

Active since May 05, 2009CLIA 49D1101804 · Waiver
3985 PRINCE WILLIAM PKWY, SUITE 102, WOODBRIDGE, VA 22192(703) 590-8375(703) 590-8379 Get Directions Write a Review

NPPES record last updated: May 5, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Potomac Internal Medicine,pllc NPPES

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

POTOMAC INTERNAL MEDICINE,PLLC (NPI 1255565339) is a healthcare organization registered as a family medicine in Woodbridge, Virginia and active in the NPI registry since May 2009. The organization holds a CLIA Waiver certificate valid through July 5, 2027 and lists Reza Golesorkhi, Owner, as its authorized official.

NPPES Registry Identity

NPI1255565339
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePOTOMAC INTERNAL MEDICINE,PLLC
Location Address3985 PRINCE WILLIAM PKWY, SUITE 102Woodbridge, VA 22192-5010
Mailing Address3985 Prince William Pkwy, Suite 102Woodbridge, VA 22192-5010 · (703) 590-8375 · Fax (703) 590-8379
Phone(703) 590-8375
Fax(703) 590-8379
Organization SubpartNo
Authorized OfficialReza GolesorkhiOwner · (703) 590-8375
Enumeration DateMay 5, 2009
✔ NPI 1255565339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101233727
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.

3985 PRINCE WILLIAM PKWY, Woodbridge, VA 22192
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D1101804

Potomac Internal Medicine · Woodbridge, VA
Active · expires Jul 5, 2027
CLIA Number49D1101804
Laboratory TypePhysician Office
Certificate Effective DateJuly 6, 2025
Certificate Expiration DateJuly 5, 2027
Laboratory DirectorGolesorkhi Reza, MD
Laboratory Phone(703) 590-8375
Laboratory LocationPotomac Internal Medicine3985 Prince William Parkway - Suite 102, Woodbridge, VA 22193
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DR. RITA D. WRIGHT D.M.D.
Dentist (General Practice)
3985 PRINCE WILLIAM PKWY, SUITE 103
WOODBRIDGE, VA 22192
Prince William County (703) 878-7883
DR. PENDAR ESMAEILI D.C.
Chiropractor
3985 PRINCE WILLIAM PKWY, SUITE 101
WOODBRIDGE, VA 22192
Prince William County (703) 897-7777
DR. NAHAL ESMAEILI D.C.
Chiropractor
3985 PRINCE WILLIAM PKWY, SUITE # 101
WOODBRIDGE, VA 22192
Prince William County (703) 897-7777

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 Potomac Internal Medicine,pllc's NPI number?

The NPI number for Potomac Internal Medicine,pllc is 1255565339. It was assigned to this organization in the NPPES registry on May 5, 2009.

Where is Potomac Internal Medicine,pllc located?

Potomac Internal Medicine,pllc is located at 3985 Prince William Pkwy Suite 102, Woodbridge, VA 22192. The listed phone number is (703) 590-8375.

What is Potomac Internal Medicine,pllc's specialty?

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

Does Potomac Internal Medicine,pllc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1101804) is associated with this NPI, valid through July 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Potomac Internal Medicine,pllc was last updated on May 5, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.