Penderbrook Internal Medicine and Wellness, PLLC
NPI 1972832608 · Internal Medicine Physician · Fairfax, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Penderbrook Internal Medicine and Wellness, PLLC is a Internal Medicine Physician organization in Fairfax, VA (NPI 1972832608).
Provider details
- NPI number
- 1972832608
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Thien Quang Le, Owner(703) 716-5404
- License
- 0101840408 (VA)
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
16 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
- 2009-12-08
- Last updated
- 2011-09-29
Frequently asked questions
- What is Penderbrook Internal Medicine and Wellness, PLLC's NPI number?
- Penderbrook Internal Medicine and Wellness, PLLC's National Provider Identifier (NPI) is 1972832608, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Penderbrook Internal Medicine and Wellness, PLLC?
- Penderbrook Internal Medicine and Wellness, PLLC is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Penderbrook Internal Medicine and Wellness, PLLC located?
- Penderbrook Internal Medicine and Wellness, PLLC's practice location on file with NPPES is 4001 Fair Ridge Dr, Fairfax, VA 22033-2917.
- What is Penderbrook Internal Medicine and Wellness, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Penderbrook Internal Medicine and Wellness, PLLC is (703) 716-5404.
- Does Penderbrook Internal Medicine and Wellness, PLLC accept Medicare?
- Penderbrook Internal 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 Penderbrook Internal Medicine and Wellness, PLLC?
- The authorized official listed on Penderbrook Internal Medicine and Wellness, PLLC's NPPES record is Thien Quang Le, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Penderbrook Internal Medicine and Wellness, PLLC's NPI active?
- Yes — Penderbrook Internal Medicine and Wellness, PLLC's NPI (1972832608) is active in the NPPES registry as of the last update on 2011-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.