Lighthouse Family Medicine and Wellness PLLC
NPI 1164003752 · Family Medicine Physician · Lansdowne, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lighthouse Family Medicine and Wellness PLLC is a Family Medicine Physician organization in Lansdowne, VA (NPI 1164003752).
Provider details
- NPI number
- 1164003752
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Olufunmilola Ogbonlowo, Physician(571) 293-2424
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-04-15
- Last updated
- 2025-10-31
- Certified
- 2025-10-31
Frequently asked questions
- What is Lighthouse Family Medicine and Wellness PLLC's NPI number?
- Lighthouse Family Medicine and Wellness PLLC's National Provider Identifier (NPI) is 1164003752, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lighthouse Family Medicine and Wellness PLLC?
- Lighthouse Family Medicine and Wellness PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lighthouse Family Medicine and Wellness PLLC located?
- Lighthouse Family Medicine and Wellness PLLC's practice location on file with NPPES is 19440 Golf Vista Plz Ste 120, Lansdowne, VA 20176-8264.
- What is Lighthouse Family Medicine and Wellness PLLC's phone number?
- The practice phone number listed in the NPPES registry for Lighthouse Family Medicine and Wellness PLLC is (571) 293-2424.
- Does Lighthouse Family Medicine and Wellness PLLC accept Medicare?
- Lighthouse Family Medicine and Wellness PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lighthouse Family Medicine and Wellness PLLC?
- The authorized official listed on Lighthouse Family Medicine and Wellness PLLC's NPPES record is Olufunmilola Ogbonlowo, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lighthouse Family Medicine and Wellness PLLC's NPI active?
- Yes — Lighthouse Family Medicine and Wellness PLLC's NPI (1164003752) is active in the NPPES registry as of the last update on 2025-10-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.