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INTEGRATIVE MEDICINE & WELLNESS INC
NPI 1619792256
Internal Medicine in Manassas, VA

Active since November 19, 2024
7900 SUDLEY RD STE 416, MANASSAS, VA 20109(703) 563-3804(877) 409-1647 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 12, 2026, Feb 5, 2026, Nov 3, 2025 and 1 more (4 updates tracked since 2024).

About Integrative Medicine & Wellness Inc NPPES

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

INTEGRATIVE MEDICINE & WELLNESS INC (NPI 1619792256) is a healthcare organization registered as an internal medicine in Manassas, Virginia and active in the NPI registry since November 2024. The organization lists Mariya Bourget, Owner, as its authorized official.

NPPES Registry Identity

NPI1619792256
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameINTEGRATIVE MEDICINE & WELLNESS INC
Location Address7900 SUDLEY RD STE 416Manassas, VA 20109-2806
Mailing Address7900 Sudley Rd Ste 416Manassas, VA 20109-2806 · (703) 563-3804 · Fax (866) 611-2705
Phone(703) 563-3804
Fax(877) 409-1647
Organization SubpartNo
Authorized OfficialMariya BourgetOwner · (703) 863-3029
Enumeration DateNovember 19, 2024
Last NPPES UpdateMay 12, 20264 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
✔ NPI 1619792256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedIntegrative MedicineTaxonomy 202D00000X
7900 SUDLEY RD STE 416, Manassas, VA 20109
Open in Google Maps ↗

Group Practice 1

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Integrative Medicine & Wellness Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Integrative Medicine & Wellness Inc, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Mariya Bourget, M.D.
Internal Medicine
NPI 1477870541
14330 GIDEON DR STE B
Woodbridge, VA 22192
(571) 408-6800
✔ PECOS✔ Accepts Medicare16 mi
Rene Ernest, RN, ANP, PMHNP-BC
Nurse Practitioner
NPI 1013071018
14330 GIDEON DR STE B
Woodbridge, VA 22192
(571) 408-6800
✔ PECOS16 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Integrative Medicine & Wellness Inc's NPI number?

The NPI number for Integrative Medicine & Wellness Inc is 1619792256. It was assigned to this organization in the NPPES registry on November 19, 2024.

Where is Integrative Medicine & Wellness Inc located?

Integrative Medicine & Wellness Inc is located at 7900 Sudley Rd Ste 416, Manassas, VA 20109. The listed phone number is (703) 563-3804.

What is Integrative Medicine & Wellness Inc's specialty?

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

Is Integrative Medicine & Wellness Inc enrolled in Medicare?

Yes. Integrative Medicine & Wellness Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Integrative Medicine & Wellness Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Integrative Medicine & Wellness Inc, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Integrative Medicine & Wellness Inc was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.