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INTERNAL MEDICINE OF NORTHERN VIRGINIA
NPI 1699946988
Specialist in Reston, VA

Active since March 14, 2008
1860 TOWN CENTER DR, SUITE 230, RESTON, VA 20190(703) 709-1119(703) 709-1384 Get Directions Write a Review

NPPES record last updated: March 14, 2008. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Internal Medicine Of Northern Virginia NPPES

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

INTERNAL MEDICINE OF NORTHERN VIRGINIA (NPI 1699946988) is a healthcare organization registered as a specialist in Reston, Virginia and active in the NPI registry since March 2008. The organization lists Samuel M Shor, Owner, as its authorized official.

NPPES Registry Identity

NPI1699946988
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameINTERNAL MEDICINE OF NORTHERN VIRGINIA
Location Address1860 TOWN CENTER DR, SUITE 230Reston, VA 20190-5896
Mailing Address1860 Town Center Dr, Suite 230Reston, VA 20190-5896 · (703) 709-1119 · Fax (703) 709-1384
Phone(703) 709-1119
Fax(703) 709-1384
Organization SubpartNo
Authorized OfficialSamuel M ShorOwner · (703) 709-1119
Enumeration DateMarch 14, 2008
✔ NPI 1699946988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1860 TOWN CENTER DR, Reston, VA 20190
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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

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 49D0910376

Internal Medicine Grp Of Northern VA · Reston, VA
Expired · Jul 16, 2026
CLIA Number49D0910376
Laboratory TypePhysician Office
Certificate Effective DateJuly 17, 2024
Certificate Expiration DateJuly 16, 2026
Laboratory DirectorSamuel Shor MD
Laboratory Phone(703) 709-1119
Laboratory LocationInternal Medicine Grp Of Northern VA1860 Town Center Drive - Suite 230, Reston, VA 20190
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

RODOLFO H GONZALEZ MD. PC
Specialist
1860 TOWN CENTER DR, SUITE 350
RESTON, VA 20190
Fairfax County (703) 435-8256
GABRIELLE PHAM-CHE DPT
Physical Therapist (Orthopedic)
1860 TOWN CENTER DR
RESTON, VA 20190
Fairfax County (703) 483-4684
JANET AVERY MD PLC
Internal Medicine
1860 TOWN CENTER DR, SUITE 310
RESTON, VA 20190
Fairfax County (703) 481-5907
NATALIE COLLEEN BURNETT DRUMMOND DPT
Physical Therapist
1860 TOWN CENTER DR, SUITE 300
RESTON, VA 20190
Fairfax County (703) 483-4650
JASON MICHAEL OLIVER PTA
Physical Therapy Assistant
1860 TOWN CENTER DR, SUITE 300
RESTON, VA 20190
Fairfax County (703) 483-4684
LINDA JOHNSON RNFA
Registered Nurse (Registered Nurse First Assistant)
1860 TOWN CENTER DR, SUITE 300
RESTON, VA 20190
Fairfax County (703) 435-6604
JEFFREY HOWARD BERG M.D.
Orthopaedic Surgery (Sports Medicine)
1860 TOWN CENTER DR, SUITE 300
RESTON, VA 20190
Fairfax County (703) 435-6604
MAARIJ INC
Psychiatry & Neurology (Neurology)
1860 TOWN CENTER DR, SUITE 320
RESTON, VA 20190
Fairfax County (703) 348-7207

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 Internal Medicine Of Northern Virginia's NPI number?

The NPI number for Internal Medicine Of Northern Virginia is 1699946988. It was assigned to this organization in the NPPES registry on March 14, 2008.

Where is Internal Medicine Of Northern Virginia located?

Internal Medicine Of Northern Virginia is located at 1860 Town Center Dr Suite 230, Reston, VA 20190. The listed phone number is (703) 709-1119.

What is Internal Medicine Of Northern Virginia's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Internal Medicine Of Northern Virginia was last updated on March 14, 2008. 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.