The Montgomery Medical Clinic
NPI 1164013256 · Public Health & General Preventive Medicine Physician · Arlington, VA
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
The Montgomery Medical Clinic is a Public Health & General Preventive Medicine Physician organization in Arlington, VA (NPI 1164013256).
Provider details
- NPI number
- 1164013256
- Entity type
- Organization
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Montgomery Medical Clinic
- Organization subpart
- Yes
- Authorized official
- Tanya Chadwell, Clinical Director(703) 351-5100
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
Other names (DBA / former)
- Doing business as
- Capitol Travel Medicine
Registry dates
- Enumerated
- 2021-02-01
- Last updated
- 2021-02-01
- Certified
- 2021-02-01
Frequently asked questions
- What is The Montgomery Medical Clinic's NPI number?
- The Montgomery Medical Clinic's National Provider Identifier (NPI) is 1164013256, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Montgomery Medical Clinic?
- The Montgomery Medical Clinic is classified in the NPPES registry as Public Health & General Preventive Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is The Montgomery Medical Clinic located?
- The Montgomery Medical Clinic's practice location on file with NPPES is 3800 Fairfax Dr Ste 2, Arlington, VA 22203-1703.
- What is The Montgomery Medical Clinic's phone number?
- The practice phone number listed in the NPPES registry for The Montgomery Medical Clinic is (703) 351-5100.
- Does The Montgomery Medical Clinic accept Medicare?
- The Montgomery Medical Clinic 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 The Montgomery Medical Clinic?
- The authorized official listed on The Montgomery Medical Clinic's NPPES record is Tanya Chadwell, Clinical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Montgomery Medical Clinic's NPI active?
- Yes — The Montgomery Medical Clinic's NPI (1164013256) is active in the NPPES registry as of the last update on 2021-02-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.