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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MANASSAS INTERNAL MEDICINE PC
NPI 1609804285
Internal Medicine in Manassas, VA

Active since June 30, 2006CLIA 49D2209715 · Waiver
8704 ROLLING RD, MANASSAS, VA 20110(703) 257-7749(855) 254-4529 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 2, 2021, Apr 12, 2021 (2 updates tracked since 2021).

About Manassas Internal Medicine Pc NPPES

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

MANASSAS INTERNAL MEDICINE PC (NPI 1609804285), doing business as Manassas Internal Medicine, is a healthcare organization registered as an internal medicine in Manassas, Virginia and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through January 14, 2027 and lists Angela Shamel, Office Admin, as its authorized official.

NPPES Registry Identity

NPI1609804285
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMANASSAS INTERNAL MEDICINE PC
Location Address8704 ROLLING RDManassas, VA 20110-4253
Mailing Address8704 Rolling RdManassas, VA 20110-4253 · (703) 257-7749 · Fax (855) 254-4529
Phone(703) 257-7749
Fax(855) 254-4529
Organization SubpartNo
Authorized OfficialAngela ShamelOffice Admin · (703) 257-7749
Enumeration DateJune 30, 2006
Last NPPES UpdateJuly 1, 20262 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
✔ NPI 1609804285 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.
8704 ROLLING RD, Manassas, VA 20110
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Other Names 1

Doing Business AsManassas Internal Medicine

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 49D2209715

Manassas Internal Medicine · Manassas, VA
Active · expires Jan 14, 2027
CLIA Number49D2209715
Laboratory TypePhysician Office
Certificate Effective DateJanuary 15, 2025
Certificate Expiration DateJanuary 14, 2027
Laboratory DirectorYoung K. Kim
Laboratory Phone(703) 257-7749
Laboratory LocationManassas Internal Medicine8569 Sudley Rd Suite B, Manassas, VA 20110
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

RICARDO BENNETT D.P.M.
Podiatrist
8704 ROLLING RD
MANASSAS, VA 20110
Manassas City (703) 361-3132
MANASSAS FOOT CLINIC PLLC
Podiatrist (Foot & Ankle Surgery)
8704 ROLLING RD
MANASSAS, VA 20110
Manassas City (703) 361-3132
YOOJIN KWON FNP-BC
Nurse Practitioner (Family)
8704 ROLLING RD
MANASSAS, VA 20110
Manassas City (703) 257-7749
MANASSAS FOOT CLINIC INC
Podiatrist (Foot & Ankle Surgery)
8704 ROLLING RD
MANASSAS, VA 20110
Manassas City (703) 361-3132
MR. YOUNG KWAN KIM D.O.
Internal Medicine
8704 ROLLING RD
MANASSAS, VA 20110
Manassas City (703) 257-7749

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 Manassas Internal Medicine PC's NPI number?

The NPI number for Manassas Internal Medicine PC is 1609804285. It was assigned to this organization in the NPPES registry on June 30, 2006. The provider is doing business as Manassas Internal Medicine.

Where is Manassas Internal Medicine PC located?

Manassas Internal Medicine PC is located at 8704 Rolling Rd, Manassas, VA 20110. The listed phone number is (703) 257-7749.

What is Manassas Internal Medicine PC's specialty?

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

Does Manassas Internal Medicine PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2209715) is associated with this NPI, valid through January 14, 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 Manassas Internal Medicine PC was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.