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LIFETIME INTERNAL MEDICINE, PLLC
NPI 1346715141
Internal Medicine in Herndon, VA

Active since October 08, 2018CLIA 49D2122154 · Waiver
2579 JOHN MILTON DR STE 300, HERNDON, VA 20171(703) 828-0799(571) 525-2963 Get Directions Write a Review

NPPES record last updated: October 2, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 2, 2019, Oct 8, 2018 (2 updates tracked since 2018).

About Lifetime Internal Medicine, Pllc NPPES

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

LIFETIME INTERNAL MEDICINE, PLLC (NPI 1346715141) is a healthcare organization registered as an internal medicine in Herndon, Virginia and active in the NPI registry since October 2018. The organization holds a CLIA Waiver certificate valid through November 20, 2026 and lists Shalini Goyal Kaneriya, Physician, Owner, as its authorized official.

NPPES Registry Identity

NPI1346715141
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLIFETIME INTERNAL MEDICINE, PLLC
Location Address2579 JOHN MILTON DR STE 300Herndon, VA 20171-2500
Mailing Address2579 John Milton Dr Ste 300Herndon, VA 20171-2500 · (703) 828-0799 · Fax (571) 525-2963
Phone(703) 828-0799
Fax(571) 525-2963
Organization SubpartNo
Authorized OfficialShalini Goyal KaneriyaPhysician, Owner · (703) 828-0799
Enumeration DateOctober 8, 2018
Last NPPES UpdateOctober 2, 20192 updates tracked since enumeration
✔ NPI 1346715141 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
2579 JOHN MILTON DR STE 300, Herndon, VA 20171
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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

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 49D2122154

Lifetime Internal Medicine, PLLC · Herndon, VA
Active · expires Nov 20, 2026
CLIA Number49D2122154
Laboratory TypePhysician Office
Certificate Effective DateNovember 21, 2024
Certificate Expiration DateNovember 20, 2026
Laboratory DirectorShalini Kaneriya
Laboratory Phone(703) 828-0799
Laboratory LocationLifetime Internal Medicine, PLLC2579 John Milton Drive - Suite 300, Herndon, VA 20171
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 2

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

DR. SHALINI GOYAL KANERIYA MD
Internal Medicine
2579 JOHN MILTON DR STE 300
HERNDON, VA 20171
Fairfax County (703) 828-0799
IRA MARATHE M.D.
Internal Medicine
2579 JOHN MILTON DR STE 300
HERNDON, VA 20171
Fairfax County (703) 828-0799

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 Lifetime Internal Medicine, PLLC's NPI number?

The NPI number for Lifetime Internal Medicine, PLLC is 1346715141. It was assigned to this organization in the NPPES registry on October 8, 2018.

Where is Lifetime Internal Medicine, PLLC located?

Lifetime Internal Medicine, PLLC is located at 2579 John Milton Dr Ste 300, Herndon, VA 20171. The listed phone number is (703) 828-0799.

What is Lifetime Internal Medicine, PLLC's specialty?

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

Does Lifetime Internal Medicine, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2122154) is associated with this NPI, valid through November 20, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lifetime Internal Medicine, PLLC was last updated on October 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.