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JUBURI MEDICAL CENTER LLC
NPI 1932661147
Internal Medicine in Alexandria, VA

Active since April 05, 2019CLIA 49D2164987 · Waiver
2817 DUKE ST, ALEXANDRIA, VA 22314(703) 997-9699(703) 997-9766 Get Directions Write a Review

NPPES record last updated: April 5, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Juburi Medical Center Llc NPPES

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

JUBURI MEDICAL CENTER LLC (NPI 1932661147) is a healthcare organization registered as an internal medicine in Alexandria, Virginia and active in the NPI registry since April 2019. The organization holds a CLIA Waiver certificate valid through April 16, 2027 and lists Rudy Juburi, Owner, as its authorized official.

NPPES Registry Identity

NPI1932661147
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameJUBURI MEDICAL CENTER LLC
Location Address2817 DUKE STAlexandria, VA 22314-4512
Mailing Address2817 Duke StAlexandria, VA 22314-4512 · (703) 997-9699 · Fax (703) 997-9766
Phone(703) 997-9699
Fax(703) 997-9766
Organization SubpartNo
Authorized OfficialRudy JuburiOwner · (703) 997-9699
Enumeration DateApril 5, 2019
✔ NPI 1932661147 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.
2817 DUKE ST, Alexandria, VA 22314
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Juburi Medical Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Juburi Medical Center LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Deepali Patel, FNP-BC
Nurse Practitioner
NPI 1922767094
1101 S JOYCE ST APT 2535
Arlington, VA 22202
(301) 789-5216
✔ PECOS4.0 mi
Dalya Al Qaysi, MD
Internal Medicine
NPI 1841786019
8503 ARLINGTON BLVD STE 400
Fairfax, VA 22031
(703) 207-8600
✔ PECOS✔ Accepts Medicare9.5 mi
Rudy Juburi, M.D.
Internal Medicine
NPI 1477598761
8030 MATTHEWS RD STE 105
Bryans Road, MD 20616
(301) 375-8080
✔ PECOS✔ Accepts Medicare12 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 49D2164987

Juburi Medical Center · Alexandria, VA
Active · expires Apr 16, 2027
CLIA Number49D2164987
Laboratory TypePhysician Office
Certificate Effective DateApril 17, 2025
Certificate Expiration DateApril 16, 2027
Laboratory DirectorRudy H. Juburi
Laboratory Phone(703) 997-9699
Laboratory LocationJuburi Medical Center2817 Duke Street, Alexandria, VA 22314
CLIA data matches this NPI record on: Address 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 Juburi Medical Center LLC's NPI number?

The NPI number for Juburi Medical Center LLC is 1932661147. It was assigned to this organization in the NPPES registry on April 5, 2019.

Where is Juburi Medical Center LLC located?

Juburi Medical Center LLC is located at 2817 Duke St, Alexandria, VA 22314. The listed phone number is (703) 997-9699.

What is Juburi Medical Center LLC's specialty?

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

Is Juburi Medical Center LLC enrolled in Medicare?

Yes. Juburi Medical Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Juburi Medical Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Juburi Medical Center LLC, 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Juburi Medical Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2164987) is associated with this NPI, valid through April 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Juburi Medical Center LLC was last updated on April 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.