Wellformed AI

NPI 1992680458 · live from the CMS NPI Registry

Medical Faculty Associates

Internal Medicine in Reston, VA. National Provider Identifier 1992680458, active.

NPI record

NPI1992680458 Type 2 · organization
StatusActive
Primary specialtyInternal Medicine 207R00000X
Practice location1860 Town Center Dr Ste 420, Reston, VA 20190
Practice phone202-741-3350
Mailing address2150 Pennsylvania Ave Nw Ste 10-409a, Washington, DC 20037
EnumeratedAugust 6, 2025
Last updatedAugust 6, 2025
Authorized officialKimberly Collic, Senior Director Revenue Cycle
Other namesGw Medical Faculty Associates

Taxonomies and licenses

TaxonomyCodeLicense
Anesthesiology207L00000X—
Dermatology207N00000X—
Dermatology, Dermatopathology207ND0900X—
Obstetrics & Gynecology207V00000X—
Ophthalmology207W00000X—
Orthopaedic Surgery207X00000X—
Otolaryngology207Y00000X—
Emergency Medicine207P00000X—
Medical Genetics, Clinical Genetics (M.D.)207SG0201X—
Plastic Surgery208200000X—
Radiology, Body Imaging2085B0100X—
Surgery208600000X—
Pathology, Blood Banking & Transfusion Medicine207ZB0001X—
Pediatrics208000000X—
Internal Medicine primary207R00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.