Family Physicians of Old Town Fairfax PC.
NPI 1366570400ActiveOrganization· Family Medicine· Fairfax, VA
Family Medicine in Fairfax, Virginia, registered in NPPES in March 2007. The authorized official on file is David Drake Leonard, M.D., Medical Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366570400 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 1, 2007 |
| Last updated in NPPES | Mar 8, 2023 |
| Certified by provider | Mar 8, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 0101043356 | VA |
| Family Medicine, Geriatric Medicine | 207QG0300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (DC) |
|---|
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