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ADVANCED INTERNAL MEDICINE, INC.
NPI 1366468779
Specialist in Fairfax, VA

Active since July 15, 2006CLIA 49D0988481 · Waiver
3930 PENDER DR, SUITE 230, FAIRFAX, VA 22030(703) 620-6221(703) 620-6628 Get Directions Write a Review

NPPES record last updated: February 21, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Advanced Internal Medicine, Inc. NPPES

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

ADVANCED INTERNAL MEDICINE, INC. (NPI 1366468779) is a healthcare organization registered as a specialist in Fairfax, Virginia and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through November 24, 2027 and lists Mubarik Khan, President, as its authorized official.

NPPES Registry Identity

NPI1366468779
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameADVANCED INTERNAL MEDICINE, INC.
Location Address3930 PENDER DR, SUITE 230Fairfax, VA 22030-0985
Mailing Address3930 Pender Dr, Suite 230Fairfax, VA 22030-0985 · (703) 620-6221 · Fax (703) 620-6628
Phone(703) 620-6221
Fax(703) 620-6628
Organization SubpartNo
Authorized OfficialMubarik KhanPresident · (703) 620-6221
Enumeration DateJuly 15, 2006
Last NPPES UpdateFebruary 21, 2013
✔ NPI 1366468779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in VA · 0101059082
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3930 PENDER DR, Fairfax, VA 22030
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Other Identifiers 3

Medicare ID-Type UnspecifiedG02101VA
Medicare PIN490576
Medicare PING02101

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 49D0988481

Advanced Internal Medicine, Inc · Fairfax, VA
Active · expires Nov 24, 2027
CLIA Number49D0988481
Laboratory TypePhysician Office
Certificate Effective DateNovember 25, 2025
Certificate Expiration DateNovember 24, 2027
Laboratory DirectorMubarik A. Khan, MD
Laboratory Phone(703) 620-6221
Laboratory LocationAdvanced Internal Medicine, Inc3930 Pender Drive - Suite 230, Fairfax, VA 22030
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 20

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

MID ATLANTIC PAIN MANAGEMENT, LLC
Anesthesiology (Pain Medicine)
3930 PENDER DR, SUITE 120
FAIRFAX, VA 22030
Fairfax City (301) 829-7693
SAMAN MADANI DMD & SHADI SHAREGHI DDS PC
Dentist
3930 PENDER DR, SUITE #250
FAIRFAX, VA 22030
Fairfax City (703) 865-5779
DR. KENNETH JAE YOON KIM MD
Pediatrics
3930 PENDER DR, SUITE 330
FAIRFAX, VA 22030
Fairfax City (703) 246-0022
AMERICAN ADVANCED DENTAL ASSOCIATES
Clinic/Center (Dental)
3930 PENDER DR, SUITE 110
FAIRFAX, VA 22030
Fairfax City (703) 359-9080
OBGYN OF VIRGINIA, LLC
Obstetrics & Gynecology (Gynecology)
3930 PENDER DR, SUITE 60
FAIRFAX, VA 22030
Fairfax City (571) 249-0717
CENTERS FOR ADVANCED ORTHOPAEDICS, LLC
Orthopaedic Surgery
3930 PENDER DR, SUITE 210
FAIRFAX, VA 22030
Fairfax City (703) 648-3100
DR. LEILA H ZACKRISON M.D.
Internal Medicine (Rheumatology)
3930 PENDER DR, SUITE 280
FAIRFAX, VA 22030
Fairfax City (703) 359-9300
DERMATOLOGY OF VIRGINIA
Dermatology
3930 PENDER DR, SUITE 210
FAIRFAX, VA 22030
Fairfax City (703) 828-7128

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 Advanced Internal Medicine, Inc.'s NPI number?

The NPI number for Advanced Internal Medicine, Inc. is 1366468779. It was assigned to this organization in the NPPES registry on July 15, 2006.

Where is Advanced Internal Medicine, Inc. located?

Advanced Internal Medicine, Inc. is located at 3930 Pender Dr Suite 230, Fairfax, VA 22030. The listed phone number is (703) 620-6221.

What is Advanced Internal Medicine, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Advanced Internal Medicine, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0988481) is associated with this NPI, valid through November 24, 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 Advanced Internal Medicine, Inc. was last updated on February 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.