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KINGSTOWNE INTERNAL MEDICINE
NPI 1841560299
Internal Medicine in Kingstowne, VA

Active since January 03, 2012CLIA 49D2039805 · Waiver
5901 KINGSTOWNE VILLAGE PARKWAY, SUITE 300, KINGSTOWNE, VA 22315(571) 384-6304(571) 384-6309 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 20, 2022, Mar 12, 2022 (2 updates tracked since 2022).

About Kingstowne Internal Medicine NPPES

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

KINGSTOWNE INTERNAL MEDICINE (NPI 1841560299) is a healthcare organization registered as an internal medicine in Kingstowne, Virginia and active in the NPI registry since January 2012. The organization holds a CLIA Waiver certificate valid through April 17, 2028 and lists Mary Beth Tamasy, Ceo, as its authorized official.

NPPES Registry Identity

NPI1841560299
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLOUDOUN MEDICAL GROUP, PC
Location Address5901 KINGSTOWNE VILLAGE PARKWAY, SUITE 300Kingstowne, VA 22315-5883
Mailing Address224 D Cornwall Street Nw, Ste 403Leesburg, VA 20176-2704 · (703) 737-6010 · Fax (703) 443-8643
Phone(571) 384-6304
Fax(571) 384-6309
Organization SubpartYes
Authorized OfficialMary Beth TamasyCeo · (703) 737-6010
Enumeration DateJanuary 3, 2012
Last NPPES UpdateApril 24, 20232 updates tracked since enumeration
NPPES CertifiedApril 24, 2023
✔ NPI 1841560299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
5901 KINGSTOWNE VILLAGE PARKWAY, SUITE 300, Kingstowne, VA 22315
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Other Names 1

Doing Business AsKingstowne Internal Medicine

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 49D2039805

Kingstowne Internal Medicine · Alexandria, VA
Active · expires Apr 17, 2028
CLIA Number49D2039805
Laboratory TypePhysician Office
Certificate Effective DateApril 18, 2026
Certificate Expiration DateApril 17, 2028
Laboratory DirectorNikki R. Waddell
Laboratory Phone(571) 384-6304
Laboratory LocationKingstowne Internal Medicine5901 Kingstowne Village Parkway - Suite 300, Alexandria, VA 22315
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

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

LOUDOUN MEDICAL GROUP, PC
Clinic/Center (Urgent Care)
5901 KINGSTOWNE VILLAGE PARKWAY, SUITE 300
KINGSTOWNE, VA 22315
Fairfax County (571) 384-6304

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 Loudoun Medical Group, PC's NPI number?

The NPI number for Loudoun Medical Group, PC is 1841560299. It was assigned to this organization in the NPPES registry on January 3, 2012. The provider is doing business as Kingstowne Internal Medicine.

Where is Loudoun Medical Group, PC located?

Loudoun Medical Group, PC is located at 5901 Kingstowne Village Parkway, Suite 300, Kingstowne, VA 22315. The listed phone number is (571) 384-6304.

What is Loudoun Medical Group, PC's specialty?

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

Does Loudoun Medical Group, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2039805) is associated with this NPI, valid through April 17, 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 Loudoun Medical Group, PC was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.