FAMINDA T LAKE FAMINDA
NPI 1669010518
Nurse Anesthetist, Certified Registered in Falls Church, VA
About Faminda T Lake Faminda NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMINDA T LAKE FAMINDA (NPI 1669010518) is an individual nurse anesthetist, certified registered in Falls Church, Virginia, licensed in Virginia (0024178894) and active in the NPI registry since December 2019. She is affiliated with Inova Fairfax Hospital and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Faminda T Lake Faminda is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
6Medicare enrollment records show Faminda Lake reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Falls Church, VA 22042
- Reassigned Medicare billing, District of Columbia enrollment
- 455 clinicians in this Medicare group
Falls Church, VA 22042
- Reassigned Medicare billing, District of Columbia enrollment
- 2,618 clinicians in this Medicare group
Washington, DC 20016
- Reassigned Medicare billing, Virginia enrollment
- 119 clinicians in this Medicare group
Alexandria, VA 22306
- Reassigned Medicare billing, District of Columbia enrollment
- 634 clinicians in this Medicare group
Woodbridge, VA 22191
- Reassigned Medicare billing, Virginia enrollment
- 170 clinicians in this Medicare group
Dulles, VA 20166
- Reassigned Medicare billing, Virginia enrollment
- 85 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Inova Fairfax Hospital
Acute Care Hospitals · Falls Church, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
FALLS CHURCH, VA 22042
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 Faminda Lake's NPI number?
The NPI number for Faminda Lake is 1669010518. It was assigned to this individual provider in the NPPES registry on December 11, 2019. The provider is also known as Faminda T Lake Rn.
Where is Faminda Lake located?
Faminda Lake practices at 3300 Gallows Rd, Falls Church, VA 22042. The listed phone number is (703) 776-2632.
What is Faminda Lake's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Faminda Lake enrolled in Medicare?
Yes. Faminda Lake is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Faminda Lake's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Faminda Lake reassigns Medicare benefits to 6 organizations: American Anesthesiology Of Virginia PC (Falls Church, VA), Inova Health Care Services (Falls Church, VA), Surgical Anesthesia Associates, PLLC (Washington, DC), Northstar Anesthesia Of Virginia, LLC (Alexandria, VA), Premier Anesthesia Of Virginia LLC (Woodbridge, VA) and 1 more organization, listed in the Medicare section above. Each 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 Faminda Lake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Faminda Lake accept?
Health plans from Oscar Health and Oscar Insurance Company list Faminda Lake as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Faminda Lake affiliated with any hospitals?
According to CMS data, Faminda Lake is affiliated with Inova Fairfax Hospital.
When was this NPI record last updated?
The NPPES record for Faminda Lake was last updated on March 12, 2020. 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.
# Faminda T Lake, FAMINDA · NPI 1669010518
Nurse Anesthetist, Certified Registered physician in Falls Church, Virginia. Individual provider, active in the CMS NPPES registry since December 11, 2019.
## Identity
- **NPI:** 1669010518 (Entity type: Individual)
- **Enumerated:** December 11, 2019
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 0024178894 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3300 GALLOWS RD, Falls Church, VA 22042-3307
- **Phone:** (703) 776-2632
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): American Anesthesiology Of Virginia PC (NPI 1417994872, Falls Church, VA); Inova Health Care Services (NPI 1952320061, Falls Church, VA); Surgical Anesthesia Associates, PLLC (NPI 1811930647, Washington, DC); Northstar Anesthesia Of Virginia, LLC (NPI 1194488791, Alexandria, VA); Premier Anesthesia Of Virginia LLC (NPI 1255986147, Woodbridge, VA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** March 12, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1669010518) · Data from the CMS NPPES public registry.