PENDERBROOK INTERNAL MEDICINE AND WELLNESS, PLLC
PENDERBROOK INTERNAL MEDICINE AND WELLNESS, PLLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1972832608, based in Fairfax, VA. It is classified under Internal Medicine Physician.
Getting there
The practice address on file is 4001 FAIR RIDGE DR SUITE 206, Fairfax, VA 22033. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 0101840408 | VA | Internal Medicine Physician primary |
This provider holds licence 0101840408 issued in VA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 3577733450
- Enrollment ID
- O20110901000237
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Internal Medicine covers
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. NUCC Health Care Provider Taxonomy, code 207R00000X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1972832608 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Dec 8, 2009 |
| Last updated | Sep 29, 2011 |
| Status | Active |
| Practice address |
4001 FAIR RIDGE DR SUITE 206 Fairfax, VA 22033 (703) 716-5404 Fax (703) 716-5410 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 9 | 7 | 2 | 8 | 3 | 2 | 6 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 9 | 5 | 2 | 7 | 3 | 4 | 6 | 0 |
Sum = 62 · next multiple of 10 = 70 · check digit = 8 · actual last digit = 8
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.