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CHANTILLY FAMILY MEDICINE LLC
NPI 1306106182
Family Medicine in Chantilly, VA

Active since May 25, 2012CLIA Certified · 2 labs
14113 ROBERT PARIS CT, CHANTILLY, VA 20151(703) 956-6757(855) 359-2261 Get Directions Write a Review

NPPES record last updated: August 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 31, 2023, May 23, 2023, Jul 15, 2020 (3 updates tracked since 2020).

About Chantilly Family Medicine Llc NPPES

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

CHANTILLY FAMILY MEDICINE LLC (NPI 1306106182) is a healthcare organization registered as a family medicine in Chantilly, Virginia and active in the NPI registry since May 2012. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Sterling, and lists Kanika Govil, President, as its authorized official.

NPPES Registry Identity

NPI1306106182
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCHANTILLY FAMILY MEDICINE LLC
Location Address14113 ROBERT PARIS CTChantilly, VA 20151-4200
Mailing Address14113 Robert Paris CtChantilly, VA 20151-4200 · (039) 566-7577 · Fax (855) 359-2261
Phone(703) 956-6757
Fax(855) 359-2261
Organization SubpartNo
Authorized OfficialKanika GovilPresident · (703) 599-8463
Enumeration DateMay 25, 2012
Last NPPES UpdateAugust 31, 20233 updates tracked since enumeration
NPPES CertifiedAugust 31, 2023
✔ NPI 1306106182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101242454
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 ListedPediatricsTaxonomy 208000000X
14113 ROBERT PARIS CT, Chantilly, VA 20151
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Secondary Practice Location 1

Location 124430 Stone Springs Blvd Ste 315Sterling, VA 20166-2268 · Phone (571) 758-2350 · Fax (855) 359-2261

Group Practice 2

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

CLIA Laboratory Certificates CMS CLIA 2

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 49D2056929

Chantilly Family Medicine · Chantilly, VA
Active · expires Apr 4, 2027
CLIA Number49D2056929
Laboratory TypePhysician Office
Certificate Effective DateApril 5, 2025
Certificate Expiration DateApril 4, 2027
Laboratory DirectorKanika Govil
Laboratory Phone(703) 956-6757
Laboratory LocationChantilly Family Medicine14113 Robert Paris Court, Chantilly, VA 20151
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2128567

Chantilly Family Medicine, LLC · Sterling, VA
Active · expires Apr 2, 2027
CLIA Number49D2128567
Laboratory TypePhysician Office
Certificate Effective DateApril 3, 2025
Certificate Expiration DateApril 2, 2027
Laboratory DirectorKanika Govil
Laboratory Phone(703) 956-6757
Laboratory LocationChantilly Family Medicine, LLC24430 Stone Springs Blvd - Suite 315, Sterling, VA 20166
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 4

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

KANIKA GOVIL MD
Family Medicine
14113 ROBERT PARIS CT
CHANTILLY, VA 20151
Fairfax County (703) 956-6757
SIMRANJIT GULATI DNP, FNP-BC
Nurse Practitioner (Family)
14113 ROBERT PARIS CT
CHANTILLY, VA 20151
Fairfax County (703) 956-6757
ZAINAB AHMADI
Family Medicine (Adult Medicine)
14113 ROBERT PARIS CT
CHANTILLY, VA 20151
Fairfax County (703) 956-6757
MANGALA H PAWAR MD
Pediatrics
14113 ROBERT PARIS CT
CHANTILLY, VA 20151
Fairfax County (703) 956-6757

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 Chantilly Family Medicine LLC's NPI number?

The NPI number for Chantilly Family Medicine LLC is 1306106182. It was assigned to this organization in the NPPES registry on May 25, 2012.

Where is Chantilly Family Medicine LLC located?

Chantilly Family Medicine LLC is located at 14113 Robert Paris Ct, Chantilly, VA 20151. The listed phone number is (703) 956-6757.

What is Chantilly Family Medicine LLC's specialty?

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

Does Chantilly Family Medicine LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Chantilly Family Medicine LLC was last updated on August 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.