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PRIMA MEDICINE
NPI 1619290582
Internal Medicine in Fairfax, VA

Active since March 08, 2010CLIA Certified · 3 labs
3903 FAIR RIDGE DR, SUITE 218, FAIRFAX, VA 22033(703) 870-3750(703) 594-8604 Get Directions Write a Review

NPPES record last updated: September 25, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prima Medicine NPPES

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

PRIMA MEDICINE (NPI 1619290582) is a healthcare organization registered as an internal medicine in Fairfax, Virginia and active in the NPI registry since March 2010. The organization holds 3 active CLIA laboratory certificates and lists Chethana V Rao, Director, as its authorized official.

NPPES Registry Identity

NPI1619290582
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePRIMA MEDICINE
Location Address3903 FAIR RIDGE DR, SUITE 218Fairfax, VA 22033-2943
Mailing Address3903 Fair Ridge Dr, Suite 218Fairfax, VA 22033-2943 · (703) 870-3750 · Fax (703) 594-8604
Phone(703) 870-3750
Fax(703) 594-8604
Organization SubpartNo
Authorized OfficialChethana V RaoDirector · (703) 870-3750
Enumeration DateMarch 8, 2010
Last NPPES UpdateSeptember 25, 2014
✔ NPI 1619290582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101235757
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.
3903 FAIR RIDGE DR, Fairfax, VA 22033
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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 4

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 49D2011740

Prima Medicine · Fairfax, VA
Active · expires Aug 22, 2026
CLIA Number49D2011740
Laboratory TypePhysician Office
Certificate Effective DateAugust 23, 2024
Certificate Expiration DateAugust 22, 2026
Laboratory DirectorChethena V. Rao
Laboratory Phone(703) 870-3750
Laboratory LocationPrima Medicine3903 Fair Ridge Drive - Suite 218, Fairfax, VA 22033
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 49D2331504

Prima Medicine Tysons Office · Vienna, VA
Active · expires Oct 2, 2027
CLIA Number49D2331504
Laboratory TypePhysician Office
Certificate Effective DateOctober 3, 2025
Certificate Expiration DateOctober 2, 2027
Laboratory DirectorChethana V. Rao
Laboratory Phone(703) 870-3750
Laboratory LocationPrima Medicine Tysons Office1945 Old Gallows Road, Suite 405, Vienna, VA 22182
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2276424

Prima Medicine Merrifield Office · Fairfax, VA
Active · expires Feb 7, 2027
CLIA Number49D2276424
Laboratory TypePhysician Office
Certificate Effective DateFebruary 8, 2025
Certificate Expiration DateFebruary 7, 2027
Laboratory DirectorChethana V. Rao
Laboratory Phone(703) 870-3750
Laboratory LocationPrima Medicine Merrifield Office9401 Lee Highway, Suite 302, Fairfax, VA 22031
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2116464

Prima Medicine South Riding Office · South Riding, VA
Expired · Jul 25, 2026
CLIA Number49D2116464
Laboratory TypePhysician Office
Certificate Effective DateJuly 26, 2024
Certificate Expiration DateJuly 25, 2026
Laboratory DirectorChethana V. Rao
Laboratory Phone(703) 870-3750
Laboratory LocationPrima Medicine South Riding Office43130 Amberwood Plaza - Suite 130, South Riding, VA 20152
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 11

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

ANNA BOUGIE RDN
Dietitian, Registered
3903 FAIR RIDGE DR
FAIRFAX, VA 22033
Fairfax County (571) 748-6704
NOVA PHYSICIAN WELLNESS CENTER PLLC
Family Medicine
3903 FAIR RIDGE DR, SUITE 219
FAIRFAX, VA 22033
Fairfax County (703) 865-6490
DR. RICHARD D PAPP D.D.S.
Dentist
3903 FAIR RIDGE DR, SUITE 214
FAIRFAX, VA 22033
Fairfax County (703) 263-9388
SAXENA DENTAL FAIRFAX, PLC
Dentist (General Practice)
3903 FAIR RIDGE DR, SUITE 214
FAIRFAX, VA 22033
Fairfax County (703) 877-0775
MICHAEL W. CHANG, DDS, PLLC
Dentist (General Practice)
3903 FAIR RIDGE DR, SUITE 207
FAIRFAX, VA 22033
Fairfax County (703) 385-2772
WESTFIELDS DENTAL
Dentist (General Practice)
3903 FAIR RIDGE DR, SUITE 214
FAIRFAX, VA 22033
Fairfax County (703) 263-9388
ADVANCED COSMETIC DENTISTRY OF NOVA
Dentist
3903 FAIR RIDGE DR, SUITE # 212
FAIRFAX, VA 22033
Fairfax County (703) 865-6880
DR. CARLA MILAGRITOS ZAMORA ROJAS D.D.S.
Dentist
3903 FAIR RIDGE DR, SUITE 214
FAIRFAX, VA 22033
Fairfax County (703) 877-0775

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 Prima Medicine's NPI number?

The NPI number for Prima Medicine is 1619290582. It was assigned to this organization in the NPPES registry on March 8, 2010.

Where is Prima Medicine located?

Prima Medicine is located at 3903 Fair Ridge Dr Suite 218, Fairfax, VA 22033. The listed phone number is (703) 870-3750.

What is Prima Medicine's specialty?

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

Does Prima Medicine hold CLIA laboratory certificates?

Yes. 3 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 Prima Medicine was last updated on September 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.