Active NPI 1427283563 Individual Practitioner Male Practitioner

Dr. Junsoo Alexander Lee , MD

Internal Medicine • Reston, VA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Junsoo Lee, MD is a certified Internal Medicine practicing in Reston, VA. With approximately 17 years of clinical experience since completing medical education in 2009, Dr. Lee delivers high-quality medical care to the local community at 1830 TOWN CENTER DR STE 405.

Dr. Lee maintains professional affiliations with Reston Hospital Center Llc, Privia Medical Group, Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1830 Town Center Dr Ste 405

Reston, VA 201903218

Telephone 7034819191

Fax 5714235082

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Reston, VA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

17 Yrs -13.7 yrs vs City Avg

City Avg: 30.7 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

61 Specialists

Practicing in Reston, VA (3758 Statewide)

Telehealth Adoption Rate

21.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

63.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lee (17 Years) 17 Yrs

Reston Specialty Average (30.7 Years) 30.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	596	342	$304.00	$140.47
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	588	513	$96.20	$8.46
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	339	254	$44.00	$17.55
93000 Routine ekg using at least 12 leads including interpretation and report	307	269	$67.00	$15.93
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	175	164	$671.00	$213.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	68	51	$199.00	$83.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$466.00	$184.10
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	53	53	$899.00	$289.15
93880 Ultrasound of both sides of head and neck blood flow	45	45	$569.00	$207.67
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	37	37	$519.00	$71.79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	29	$381.00	$138.39
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	26	25	$1721.00	$608.42
93228 Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional	25	25	$73.00	$26.60
93229 Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional	25	25	$2011.00	$945.61
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	17	17	$260.00	$74.40
93456 Insertion of tube in right heart chambers and coronary artery for diagnosis with review by radiologist	16	16	$943.00	$325.53
93454 Insertion of tube in coronary artery for diagnosis with review by radiologist	12	11	$737.00	$250.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	799	711	$66.79	$8.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	495	274	$304.00	$141.15
93000 Routine ekg using at least 12 leads including interpretation and report	263	228	$66.94	$16.39
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	167	154	$671.00	$221.35
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	94	94	$519.00	$72.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	64	42	$199.00	$85.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$466.00	$186.94
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	42	42	$899.00	$293.77
93880 Ultrasound of both sides of head and neck blood flow	35	34	$569.00	$225.76
93456 Insertion of tube in right heart chambers and coronary artery for diagnosis with review by radiologist	26	26	$943.00	$321.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$381.00	$140.73
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	15	15	$260.00	$80.36
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	14	14	$1721.00	$592.70
93454 Insertion of tube in coronary artery for diagnosis with review by radiologist	14	14	$737.00	$257.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	982	862	$68.15	$8.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	453	248	$304.00	$143.18
93000 Routine ekg using at least 12 leads including interpretation and report	263	219	$67.00	$16.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	173	107	$199.00	$76.71
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	120	114	$671.00	$233.71
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	85	85	$519.00	$74.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	69	67	$381.00	$142.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$466.00	$191.77
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	52	52	$899.00	$319.43
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	28	28	$260.00	$81.12
93880 Ultrasound of both sides of head and neck blood flow	25	25	$569.00	$239.38
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	21	17	$22.71	$8.28
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	19	19	$1721.00	$659.50
93456 Insertion of tube in right heart chambers and coronary artery for diagnosis with review by radiologist	15	15	$943.00	$346.44
93454 Insertion of tube in coronary artery for diagnosis with review by radiologist	14	14	$737.00	$267.64
93241 Heart rhythm recording, analysis, report, review, and interpretation of continous external ekg over more than 48 hours up to 7 days	14	14	$1306.00	$304.77
93571 Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel	14	14	$248.00	$80.55
93455 Insertion of tube in bypass graft for diagnosis with review by radiologist	12	11	$851.00	$287.09
92978 Ultrasound evaluation of heart blood vessel or graft	11	11	$248.00	$105.68
93320 Ultrasound of heart blood flow, valves and chambers	11	11	$51.00	$19.68
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	11	11	$10.00	$3.38
93312 Ultrasound of heart with probe in esophagus, with report	11	11	$289.00	$118.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	446	246	$304.00	$148.51
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	375	185	$199.00	$80.05
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	329	296	$73.32	$9.10
93000 Routine ekg using at least 12 leads including interpretation and report	237	193	$67.00	$17.43
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	154	150	$671.00	$242.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	134	124	$381.00	$149.95
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	74	74	$899.00	$298.23
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	70	69	$519.00	$76.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	65	65	$466.00	$195.84
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	34	34	$260.00	$82.48
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	32	31	$1721.00	$649.51
93456 Insertion of tube in right heart chambers and coronary artery for diagnosis with review by radiologist	23	23	$943.00	$315.44
93571 Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel	21	21	$248.00	$80.08
93454 Insertion of tube in coronary artery for diagnosis with review by radiologist	20	19	$737.00	$271.29
92960 External shock to heart to regulate heart beat	19	18	$588.00	$125.21
92978 Ultrasound evaluation of heart blood vessel or graft	18	18	$248.00	$109.88
93880 Ultrasound of both sides of head and neck blood flow	14	14	$569.00	$249.92
93270 Heart rhythm symptom-related tracing of 24-hour ekg monitoring up to 30 days	14	14	$95.00	$10.74
93272 Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional	14	14	$69.00	$28.07
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	12	12	$10.00	$3.48
93320 Ultrasound of heart blood flow, valves and chambers	12	12	$51.00	$20.24
93312 Ultrasound of heart with probe in esophagus, with report	12	12	$289.00	$121.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	395	213	$304.00	$124.97
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	336	308	$90.03	$9.62
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	219	121	$199.00	$78.13
93000 Routine ekg using at least 12 leads including interpretation and report	212	176	$67.00	$20.23
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	113	109	$671.00	$245.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	111	104	$381.00	$147.84
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	104	103	$519.00	$82.14
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	73	73	$899.00	$305.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	64	64	$466.00	$188.38
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	37	37	$260.00	$80.61
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	23	22	$1721.00	$653.81
0295T External EKG recording for more than 48 hours up to 21 days with analysis, report, review and interpretation	22	22	$1196.09	$393.20
93456 Insertion of tube in right heart chambers and coronary artery for diagnosis with review by radiologist	15	15	$943.00	$363.13
93880 Ultrasound of both sides of head and neck blood flow	13	13	$569.00	$212.50
93571 Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel	13	13	$248.00	$76.27
92960 External shock to heart to regulate heart beat	12	11	$588.00	$114.00
93312 Ultrasound of heart with probe in esophagus, with report	12	12	$289.00	$121.86
93320 Ultrasound of heart blood flow, valves and chambers	12	12	$51.00	$20.33
93460 Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist	12	12	$1128.00	$440.80
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	11	11	$10.00	$3.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	508	433	$83.43	$9.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	375	209	$304.00	$121.51
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	255	125	$199.00	$79.24
93000 Routine ekg using at least 12 leads including interpretation and report	196	161	$67.00	$19.32
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	127	124	$671.00	$233.14
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	116	112	$519.00	$80.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	113	110	$381.00	$147.93
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	84	83	$899.00	$286.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$466.00	$182.53
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	38	38	$260.00	$78.57
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	37	37	$1721.00	$659.66
0295T External EKG recording for more than 48 hours up to 21 days with analysis, report, review and interpretation	29	29	$903.00	$374.73
93456 Insertion of tube in right heart chambers and coronary artery for diagnosis with review by radiologist	26	26	$943.00	$344.37
99213 Established patient office or other outpatient visit, typically 15 minutes	26	24	$206.00	$82.79
93454 Insertion of tube in coronary artery for diagnosis with review by radiologist	20	20	$737.00	$275.59
99291 Critical care, first 30-74 minutes	19	13	$765.00	$242.40
92960 External shock to heart to regulate heart beat	18	15	$588.00	$122.69
93880 Ultrasound of both sides of head and neck blood flow	15	15	$569.00	$239.41
93455 Insertion of tube in bypass graft for diagnosis with review by radiologist	12	12	$851.00	$315.25
99496 Transitional care management services for problem of high complexity	11	11	$655.00	$261.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	413	366	$78.28	$9.30
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	301	149	$199.00	$79.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	275	159	$304.00	$115.74
93000 Routine ekg using at least 12 leads including interpretation and report	162	135	$67.00	$19.14
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	136	131	$381.00	$147.96
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	115	114	$519.00	$78.92
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	94	91	$671.00	$235.75
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	69	67	$899.00	$280.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$466.00	$179.27
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	34	34	$236.13	$79.96
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	27	26	$1721.00	$626.25
93312 Ultrasound of heart with probe in esophagus, with report	21	20	$289.00	$114.95
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	21	20	$10.00	$3.30
93320 Ultrasound of heart blood flow, valves and chambers	21	20	$51.00	$19.22
92960 External shock to heart to regulate heart beat	21	20	$588.00	$123.01
99291 Critical care, first 30-74 minutes	20	13	$765.00	$206.81
93460 Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist	13	13	$1128.00	$415.53
93456 Insertion of tube in right heart chambers and coronary artery for diagnosis with review by radiologist	12	11	$943.00	$324.21
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	11	11	$74.00	$27.44
93225 Electrocardiogram (ecg) 2-day continuous	11	11	$81.00	$25.41
93454 Insertion of tube in coronary artery for diagnosis with review by radiologist	11	11	$737.00	$223.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	134	50	$199.93	$77.02
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	54	51	$382.00	$143.09
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	45	45	$519.00	$69.93
93000 Routine ekg using at least 12 leads including interpretation and report	41	37	$60.20	$19.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	23	$304.00	$116.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$466.00	$170.47
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	21	21	$899.00	$269.18
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	15	15	$671.00	$230.40
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	12	12	$1721.00	$658.01

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License VA 0101250996

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.

Internal Medicine - Cardiovascular Disease

NUCC Taxonomy Code: 207RC0000X

State License VA 0101250996

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Internal Medicine - Interventional Cardiology

NUCC Taxonomy Code: 207RI0011X

State License VA 0101250996

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Virginia State License

0101250996 (VA)

Hospital & Practice Group Affiliations

Privia Medical Group, Llc

9470 Annapolis Rd, Lanham, MD 207063022

Phone: 2028321800

Reston Hospital Center Llc

1850 Town Ctr Pkwy, Reston, VA 201903204

Phone: 7036899000

Privia Medical Group, Llc

1850 Town Ctr Pkwy, Reston, VA 201903219

Phone: 7036899000

Privia Medical Group, Llc

1830 Town Ctr Dr, Reston, VA 201903292

Phone: 7034813165

Privia Medical Group, Llc

950 N Glebe Rd, Arlington, VA 222034173

Privia Medical Group, Llc

3300 Gallows Rd, Falls Church, VA 220423307

Privia Medical Group, Llc

950 N Glebe Rd, Arlington, VA 222034173

Privia Medical Group, Llc

8644 Sudley Rd, Manassas, VA 201104425

Phone: 5713668845

Privia Medical Group, Llc

44084 Riverside Pkwy, Lansdowne, VA 201765158

Phone: 7038583185

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Joseph Lee , PA-C

Physician Assistant

NPI 1063379543

Physician Assistant (Certified)

Sarah Oliver , FNP-BC

Nurse Practitioner - Family

NPI 1770182891

Family Nurse Practitioner (Board Certified)

Dr. John Vitarello , MD, MS

Internal Medicine - Cardiovascular Disease

NPI 1811556657

Doctor of Medicine (M.D.), Master of Science

Dr. Ming Zhang , MD

Internal Medicine - Cardiovascular Disease

NPI 1851957674

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Internal Medicine (License #0101250996 in VA)

✅

NPI Profile Active July 27, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location July 27, 2017

Registered at 1830 TOWN CENTER DR STE 405, RESTON, VA 201903218 (Tel: 7034819191)

📍

Updated Business Mailing Address July 27, 2017

Registered at 1830 TOWN CENTER DR STE 405, RESTON, VA 201903218 (Tel: (703) 481-9191)

👤

Provider Name / Credentials Updated July 27, 2017

Recorded as JUNSOO LEE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2017

Internal Medicine (License #0101250996 in VA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 19, 2017

Internal Medicine (License #0101250996 in VA)

✅

NPI Profile Active December 18, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location December 18, 2014

Registered at 601 ELMWOOD AVE, ROCHESTER, NY 146420001 (Tel: 4088285302)

📍

Updated Business Mailing Address December 18, 2014

Registered at 601 ELMWOOD AVE, BOX 679, ROCHESTER, NY 146420001 (Tel: 4088285302)

👤

Provider Name / Credentials Updated December 18, 2014

Recorded as JUNSOO LEE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2014

Internal Medicine (License #2776541 in NY)

🟢

Initial NPI Registration & Enumeration May 19, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1427283563

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 19, 2009

Last Update: July 21, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1830 Town Center Dr Ste 405

Reston, VA 201903218

Phone: 7034819191

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.