MILLENNIUM MEDICAL CENTER LLC
NPI 1689909897
Internal Medicine in Alexandria, VA

NPI Status: Active since October 06, 2009

Contact Information

3606 FOREST DR
ALEXANDRIA, VA
ZIP 22302
Phone: (703) 820-7520

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  • Organization
  • Internal Medicine
  • CLIA Number: 49D2000901
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-07-2025

About MILLENNIUM MEDICAL CENTER LLC

This page provides the complete NPI Profile along with additional information for Millennium Medical Center Llc, an internist established in Alexandria, Virginia operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1689909897 assigned on October 2009. The practitioner's primary taxonomy code is 207R00000X with license number 0101242652 (VA). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Shayma Al-mudhafar Md (President)

NPI
1689909897
Provider Name
MILLENNIUM MEDICAL CENTER LLC
Entity Type
Organization
Location Address
3606 FOREST DR ALEXANDRIA, VA 22302
Location Phone
(703) 820-7520
Mailing Address
3606 FOREST DR ALEXANDRIA, VA 22302
Mailing Phone
(703) 820-7520
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-06-2009
Last Update Date
10-06-2009
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An internist like Millennium Medical Center Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
0101242652
License State
VA
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHAYMA AL-MUDHAFAR MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(703) 820-7520

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D2000901
Facility Type
Physician Office
Certificate Effective Date
December 08, 2023
Certificate Expiration Date
December 07, 2025
Laboratory Director
SHAYMA AL-MUDHAFAR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Millennium Medical Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1689909897
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2616918018818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 1 + 8 + 0 + 1 + 8 + 8 + 1 + 8 + 24 = 83
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
90 - 83 = 77

The NPI number 1689909897 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1760701825 DONALD C DILLON DC
Individual
Chiropractor3606 FOREST DR
ALEXANDRIA, VA 22302
(703) 820-7520
1740822246ALEXANDRIA MEDICAL CENTER, INC
Organization
Clinic/Center3606 FOREST DR
ALEXANDRIA, VA 22302
(571) 685-2015
1871991729MCLAREN MEDICAL CENTER PC
Organization
Family Medicine3606 FOREST DR STE B
ALEXANDRIA, VA 22302
(240) 417-6424

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689909897, enumerated in the NPI registry as an "organization" on October 06, 2009

The provider is located at 3606 Forest Dr Alexandria, Va 22302 and the phone number is (703) 820-7520

This medical organization specializes in Internal Medicine with taxonomy code 207R00000X

The provider's CLIA number is 49D2000901 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on October 06, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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