FAMILY MEDICINE IN FALLS CHURCH PC
NPI 1952474306
Family Medicine in Falls Church, VA

Active since November 15, 2006
124 E BROAD ST STE A, FALLS CHURCH, VA 22046(703) 533-7555(703) 533-7797 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 19, 2023, Mar 17, 2018 (2 updates tracked since 2018).

About Family Medicine In Falls Church Pc NPPES

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

FAMILY MEDICINE IN FALLS CHURCH PC (NPI 1952474306) is a healthcare organization registered as a family medicine in Falls Church, Virginia and active in the NPI registry since November 2006. The organization maintains a secondary practice location in Falls Church and lists Gordon Walker Theisz, President, as its authorized official.

NPPES Registry Identity

NPI1952474306
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY MEDICINE IN FALLS CHURCH PC
Location Address124 E BROAD ST STE AFalls Church, VA 22046-4530
Mailing Address124 E Broad St Ste AFalls Church, VA 22046-4530 · (703) 533-7555 · Fax (703) 533-7797
Fax(703) 533-7797
Organization SubpartNo
Authorized OfficialGordon Walker TheiszPresident · (703) 533-7555
Enumeration DateNovember 15, 2006
Last NPPES UpdateJanuary 19, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2023
✔ NPI 1952474306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101102617
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
124 E BROAD ST STE A, Falls Church, VA 22046

Secondary Practice Location 1

Location 1104A E Broad StFalls Church, VA 22046-4501 · Phone (703) 533-7555 · Fax (703) 533-7797

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Family Medicine In Falls Church Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateDistrict of ColumbiaEnrollment IDO20051006000299Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Family Medicine In Falls Church PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Internal Medicine
NPI 1609339787
124 E BROAD ST STE A
Falls Church, VA 22046
(703) 533-7555
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1811846900
124 E BROAD ST
Falls Church, VA 22046
(703) 533-7555
✔ PECOS0.1 mi
Family Practice
NPI 1447478425
6932 FAIRFAX DR UNIT 400
Arlington, VA 22213
(608) 643-3351
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1376281576
5550 FRIENDSHIP BLVD STE 130
Chevy Chase, MD 20815
(301) 652-7700
✔ PECOS7.1 mi
Nurse Practitioner
NPI 1477149052
1892 PRESTON WHITE DR
Reston, VA 20191
(571) 786-1492
✔ PECOS✔ Accepts Medicare9.4 mi
Preventive Medicine
NPI 1992080972
3031 PLANK RD
Fredericksburg, VA 22401
(540) 736-5043
✔ PECOS✔ Accepts Medicare44 mi
Internal Medicine
NPI 1588892236
4600 SPOTSYLVANIA PKWY
Fredericksburg, VA 22408
(540) 498-4950
✔ PECOS✔ Accepts Medicare49 mi
Family Practice
NPI 1437101508
825 FAIRFAX AVE # 118
Norfolk, VA 23507
(757) 446-5955
✔ PECOS✔ Accepts Medicare147 mi

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

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 Family Medicine In Falls Church PC's NPI number?

The NPI number for Family Medicine In Falls Church PC is 1952474306. It was assigned to this organization in the NPPES registry on November 15, 2006.

Where is Family Medicine In Falls Church PC located?

Family Medicine In Falls Church PC is located at 124 E Broad St Ste A, Falls Church, VA 22046. The listed phone number is (703) 533-7555.

What is Family Medicine In Falls Church PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Family Medicine In Falls Church PC enrolled in Medicare?

Yes. Family Medicine In Falls Church PC is registered in the Medicare PECOS enrollment system.

When is Family Medicine In Falls Church PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (District of Columbia, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Family Medicine In Falls Church PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 4 Medicare specialties reassign their Medicare billing to Family Medicine In Falls Church PC. 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. The largest specialties are Nurse Practitioner (3), Family Practice (2) and Internal Medicine (2). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Family Medicine In Falls Church PC was last updated on January 19, 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.