RISEN MEDICAL CARE INC – NPI #1386596674
Clinic/Center

RISEN MEDICAL CARE INC is an AHC clinic located in RESTON, VA. NPPES has assigned the NPI number 1386596674 to RISEN MEDICAL CARE INC on February 10, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QP2300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Primary Care

The NPI profile was last updated on Mar 23, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RISEN MEDICAL CARE INC below.

NPI Profile for
RISEN MEDICAL CARE INC

NPI Number
1386596674
Enumeration Date

(about 4 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RISEN MEDICAL CARE INC
Primary location
1800 TOWN CENTER DR STE 220
RESTON, VA 20190-3238
Phone: (703) 440-7000 Fax: (703) 440-7999
Mailing address
23426 SHAGBARK HICKORY LN
ALDIE, VA 20105-4126
Phone: (732) 762-5580 Fax:
Organization Subpart
No
Authorized Official
RAVI KIRAN PASUNOORI
VICE PRESIDENT
Phone: (732) 762-5580
Updated
Certification Date
Mar 23, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QP2300X
- Clinic/Center / Primary Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.