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NOVA MEDICAL SERVICES,PLLC
NPI 1679692974
Clinic/Center in Chantilly, VA

Active since March 28, 2007CLIA 49D1074750 · Waiver
4229 LAFAYETTE CENTER DR, SUITE 1425, CHANTILLY, VA 20151(703) 961-1119(703) 961-1159 Get Directions Write a Review

NPPES record last updated: November 3, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nova Medical Services,pllc NPPES

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

NOVA MEDICAL SERVICES,PLLC (NPI 1679692974) is a healthcare organization registered as a clinic/center in Chantilly, Virginia and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through April 30, 2028 and lists Neeraja Thathagari, Owner, as its authorized official.

NPPES Registry Identity

NPI1679692974
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameNOVA MEDICAL SERVICES,PLLC
Location Address4229 LAFAYETTE CENTER DR, SUITE 1425Chantilly, VA 20151-1261
Mailing AddressPo Box 734Centreville, VA 20122-0734 · (703) 961-1119 · Fax (703) 961-1159
Phone(703) 961-1119
Fax(703) 961-1159
Organization SubpartNo
Authorized OfficialNeeraja ThathagariOwner · (703) 961-1119
Enumeration DateMarch 28, 2007
Last NPPES UpdateNovember 3, 2007
✔ NPI 1679692974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in VA · 0101237990
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4229 LAFAYETTE CENTER DR, Chantilly, VA 20151
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Other Identifiers 2

Medicare PING02606
Medicare UPINI131415VA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nova Medical Services,pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Nova Medical Services,pllc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Neeraja Thathagari, M.D.
Hospitalist
NPI 1104987049
43130 AMBERWOOD PLZ STE 240
South Riding, VA 20152
(703) 961-1119
✔ PECOS✔ Accepts Medicare2.3 mi

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

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 49D1074750

Nova Medical Services, PLLC · South Riding, VA
Active · expires Apr 30, 2028
CLIA Number49D1074750
Laboratory TypePhysician Office
Certificate Effective DateMay 1, 2026
Certificate Expiration DateApril 30, 2028
Laboratory DirectorNeeraja Thathagari, MD
Laboratory Phone(703) 961-1119
Laboratory LocationNova Medical Services, PLLC43130 Amberwood Plaza - Suite 240, 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.

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 Nova Medical Services,pllc's NPI number?

The NPI number for Nova Medical Services,pllc is 1679692974. It was assigned to this organization in the NPPES registry on March 28, 2007.

Where is Nova Medical Services,pllc located?

Nova Medical Services,pllc is located at 4229 Lafayette Center Dr Suite 1425, Chantilly, VA 20151. The listed phone number is (703) 961-1119.

What is Nova Medical Services,pllc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Nova Medical Services,pllc enrolled in Medicare?

Yes. Nova Medical Services,pllc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nova Medical Services,pllc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Hospitalist) reassigns their Medicare billing to Nova Medical Services,pllc. 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.

Does Nova Medical Services,pllc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1074750) is associated with this NPI, valid through April 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Nova Medical Services,pllc was last updated on November 3, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.