| Capital Healthcare Pc | |
|
6020 Richmond Hwy Ste 102 Alexandria VA 22303-2157 | |
| (571) 308-6776 | |
| Not Available |
| Full Name | Capital Healthcare Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6020 Richmond Hwy Ste 102, Alexandria, Virginia |
| Authorized Official Name and Position | Gevorg Sedrakyan (FOUNDER) |
| Authorized Official Contact | 5713086776 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Capital Healthcare Pc 6020 Richmond Hwy Ste 102 Alexandria VA 22303-2157 Ph: (571) 308-6776 | Capital Healthcare Pc 6020 Richmond Hwy Ste 102 Alexandria VA 22303-2157 Ph: (571) 308-6776 |
| NPI Number | 1811239627 |
|---|---|
| Provider Enumeration Date | 03/19/2013 |
| Last Update Date | 01/26/2017 |
| Medicare PECOS PAC ID | 3779723309 |
|---|---|
| Medicare Enrollment ID | O20130702000710 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811239627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Dionne G Lynch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316021587 PECOS PAC ID: 5698661643 Enrollment ID: I20040226000170 |
| Provider Name | Roscoe Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205984382 PECOS PAC ID: 7618986969 Enrollment ID: I20060413000399 |
| Provider Name | Denise Wallis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386733863 PECOS PAC ID: 5092717637 Enrollment ID: I20070209000430 |
| Provider Name | Virginia Sampang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851451918 PECOS PAC ID: 4486751252 Enrollment ID: I20070514000378 |
| Provider Name | Priscilla Goldie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164579348 PECOS PAC ID: 9931296878 Enrollment ID: I20071024000641 |
| Provider Name | Nikki E Harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033202601 PECOS PAC ID: 7810084662 Enrollment ID: I20071026000235 |
| Provider Name | Stephany A Mcgann |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1831393792 PECOS PAC ID: 5193800878 Enrollment ID: I20080305000138 |
| Provider Name | Roxana Diba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366602658 PECOS PAC ID: 0749338002 Enrollment ID: I20090427000220 |
| Provider Name | Raafat A Shabti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659574010 PECOS PAC ID: 0547237158 Enrollment ID: I20090730000231 |
| Provider Name | Matthew T Burke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366555401 PECOS PAC ID: 2668527193 Enrollment ID: I20090903000729 |
| Provider Name | Phong Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215080668 PECOS PAC ID: 1254472145 Enrollment ID: I20100114000447 |
| Provider Name | Jennifer Mills |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023275856 PECOS PAC ID: 8527195080 Enrollment ID: I20100415000299 |
| Provider Name | Kerri Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700880184 PECOS PAC ID: 0345378055 Enrollment ID: I20100517000252 |
| Provider Name | Kavita R Kalidindi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801002449 PECOS PAC ID: 5799815817 Enrollment ID: I20100615000819 |
| Provider Name | Carolyn A Hammett |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154331908 PECOS PAC ID: 8426947995 Enrollment ID: I20100907000344 |
| Provider Name | Justin Thomas Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518286970 PECOS PAC ID: 9133318108 Enrollment ID: I20110106000044 |
| Provider Name | Christopher Duke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942225396 PECOS PAC ID: 7315112166 Enrollment ID: I20111207000208 |
| Provider Name | Graciela Rodriguez Santos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285913772 PECOS PAC ID: 7911169784 Enrollment ID: I20120425000029 |
| Provider Name | Charles Ihechukwuturu Okorie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831146786 PECOS PAC ID: 0941477657 Enrollment ID: I20121115000378 |
| Provider Name | Gevorg Sedrakyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861653818 PECOS PAC ID: 5991843534 Enrollment ID: I20130703000167 |
| Provider Name | Nicole Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548597131 PECOS PAC ID: 8426186818 Enrollment ID: I20131202000905 |
| Provider Name | Irene Jaffe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629073432 PECOS PAC ID: 9537150230 Enrollment ID: I20140118000029 |
| Provider Name | Sam Marco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275622987 PECOS PAC ID: 4981767027 Enrollment ID: I20140122000396 |
| Provider Name | Dung-thu Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851362982 PECOS PAC ID: 0446386106 Enrollment ID: I20140429001303 |
| Provider Name | Haizia Amsler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265612618 PECOS PAC ID: 1153497441 Enrollment ID: I20140509000801 |
| Provider Name | Marguerite G Summers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801985122 PECOS PAC ID: 8022140201 Enrollment ID: I20140602000437 |
| Provider Name | Matthew Bruntel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114102134 PECOS PAC ID: 9436231842 Enrollment ID: I20141029000109 |
| Provider Name | Shreelakshmi Ramaswamy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639304876 PECOS PAC ID: 2567614415 Enrollment ID: I20141208000196 |
| Provider Name | Karuna Galla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720121031 PECOS PAC ID: 9032152913 Enrollment ID: I20141208000724 |
| Provider Name | Kimberly M Soutuyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871998302 PECOS PAC ID: 5294058277 Enrollment ID: I20141223001882 |
| Provider Name | Vivek Vasudevan Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801824065 PECOS PAC ID: 2961542600 Enrollment ID: I20150210000236 |
| Provider Name | Kathleen Mccray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679553739 PECOS PAC ID: 8022004639 Enrollment ID: I20150327002349 |
| Provider Name | Elizabeth L Oconnor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629040498 PECOS PAC ID: 7719926591 Enrollment ID: I20150924000933 |
| Provider Name | Holly Harris |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740342161 PECOS PAC ID: 4789721556 Enrollment ID: I20150929002754 |
| Provider Name | Joanna M Bock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780728188 PECOS PAC ID: 6406902022 Enrollment ID: I20151217000057 |
| Provider Name | Yishen W Braden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629442405 PECOS PAC ID: 2365744562 Enrollment ID: I20160105001882 |
| Provider Name | Graham T Dondlinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316172885 PECOS PAC ID: 4981845583 Enrollment ID: I20160408001708 |
| Provider Name | Barnett G Mennen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184848004 PECOS PAC ID: 3072837434 Enrollment ID: I20160622000154 |
| Provider Name | Priya Murthy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538421060 PECOS PAC ID: 7113150251 Enrollment ID: I20160803000314 |
| Provider Name | Amanda Wilhelm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497114383 PECOS PAC ID: 4486940293 Enrollment ID: I20160902001366 |
| Provider Name | Gandhrav Telhan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669819389 PECOS PAC ID: 7315241387 Enrollment ID: I20160916001356 |
| Provider Name | Heather Elsner Boldt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225065980 PECOS PAC ID: 6204902463 Enrollment ID: I20161020000840 |
| Provider Name | Nader Hussein Silver |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164804886 PECOS PAC ID: 4789980426 Enrollment ID: I20161026000201 |
| Provider Name | Manasi Pandit Long |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821432097 PECOS PAC ID: 9234420506 Enrollment ID: I20161114000872 |
| Provider Name | Dongjin Sung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114231198 PECOS PAC ID: 9032422100 Enrollment ID: I20170712003115 |
| Provider Name | Maria V Borodatcheva |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003027483 PECOS PAC ID: 6305922444 Enrollment ID: I20170821000571 |
| Provider Name | Victor Y Kim |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629092465 PECOS PAC ID: 5193713972 Enrollment ID: I20170825001362 |
| Provider Name | Pallavi J Heda |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1124313754 PECOS PAC ID: 4688949233 Enrollment ID: I20171006001192 |
| Provider Name | Sama Atallah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578816526 PECOS PAC ID: 9931455706 Enrollment ID: I20180709003019 |
| Provider Name | Julia M Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578056107 PECOS PAC ID: 4688921109 Enrollment ID: I20180716000811 |
| Provider Name | Maziar Sadri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922487198 PECOS PAC ID: 1456608199 Enrollment ID: I20180726000033 |
| Provider Name | Alejandra Bustillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326466442 PECOS PAC ID: 5991074643 Enrollment ID: I20181002001069 |
| Provider Name | Kenetra M Hix |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972917979 PECOS PAC ID: 6709189129 Enrollment ID: I20181115000064 |
| Provider Name | Natasha Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962898700 PECOS PAC ID: 7113227174 Enrollment ID: I20190107002886 |
| Provider Name | Jody Ann Cousins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467578799 PECOS PAC ID: 1254456700 Enrollment ID: I20190815000405 |
| Provider Name | Kristin Ashby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922468743 PECOS PAC ID: 8628306883 Enrollment ID: I20190826002531 |
| Provider Name | Rachel Taylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770923179 PECOS PAC ID: 3274807656 Enrollment ID: I20190911000071 |
| Provider Name | Ahmad Mines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215407606 PECOS PAC ID: 2264770650 Enrollment ID: I20190911002085 |
| Provider Name | Alisa Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922367242 PECOS PAC ID: 8628297033 Enrollment ID: I20190916000715 |
| Provider Name | Anh N Truong |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003264730 PECOS PAC ID: 2062742091 Enrollment ID: I20190918000714 |
| Provider Name | David Arriola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538521539 PECOS PAC ID: 2163854167 Enrollment ID: I20191113000808 |
| Provider Name | Ezra Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770557183 PECOS PAC ID: 0042645368 Enrollment ID: I20200115000348 |
| Provider Name | Ebunoluwa Esther Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649626292 PECOS PAC ID: 5294028155 Enrollment ID: I20200130002312 |
| Provider Name | Jakeline Merino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366085169 PECOS PAC ID: 6800222779 Enrollment ID: I20200213000108 |
| Provider Name | Emily Mae Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609386788 PECOS PAC ID: 4486912615 Enrollment ID: I20200218000469 |
| Provider Name | Sally O Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568015634 PECOS PAC ID: 9638508914 Enrollment ID: I20200408000721 |
| Provider Name | Teresa Gomez-bramble |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306236914 PECOS PAC ID: 0941556690 Enrollment ID: I20200603002810 |
| Provider Name | Chukwuka O Ojiako |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023559168 PECOS PAC ID: 7911323738 Enrollment ID: I20200811002342 |
| Provider Name | Ann Kavitha James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770120586 PECOS PAC ID: 3072938919 Enrollment ID: I20200819003307 |
| Provider Name | Yasas Rodrigo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700180015 PECOS PAC ID: 1951624089 Enrollment ID: I20200930002908 |
| Provider Name | Jill Captain |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1942469390 PECOS PAC ID: 9234184599 Enrollment ID: I20201001000037 |
| Provider Name | Jannatul Shan Hoque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689157406 PECOS PAC ID: 8527487776 Enrollment ID: I20201007002558 |
| Provider Name | Beryl K Kompancaril |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568872059 PECOS PAC ID: 7214157932 Enrollment ID: I20201020002520 |
| Provider Name | Robin Donald |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083742621 PECOS PAC ID: 3678610714 Enrollment ID: I20201029000266 |
| Provider Name | Sarah Karimi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295121424 PECOS PAC ID: 5395088793 Enrollment ID: I20201029001245 |
| Provider Name | Yousef Talavari |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1588050728 PECOS PAC ID: 0941520290 Enrollment ID: I20201102001006 |
| Provider Name | Rona Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740424274 PECOS PAC ID: 6901044999 Enrollment ID: I20201106000546 |
| Provider Name | Hassan K Honainy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932104023 PECOS PAC ID: 0143281782 Enrollment ID: I20210324002945 |
| Provider Name | Aisha Sesay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841876000 PECOS PAC ID: 6305246265 Enrollment ID: I20210615000007 |
| Provider Name | Zachary Strickland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487048021 PECOS PAC ID: 5395032551 Enrollment ID: I20210621000523 |
| Provider Name | Aparna Raikar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689091837 PECOS PAC ID: 1850524935 Enrollment ID: I20210716001032 |
| Provider Name | Bianca Tan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588151336 PECOS PAC ID: 3375964182 Enrollment ID: I20210909001855 |
| Provider Name | Lilit Margaryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497242143 PECOS PAC ID: 2961759865 Enrollment ID: I20210910000004 |
| Provider Name | Surender R Edla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245263524 PECOS PAC ID: 8022012855 Enrollment ID: I20210910001585 |
| Provider Name | Kyle Robert Benda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720572571 PECOS PAC ID: 3375893464 Enrollment ID: I20210921000084 |
| Provider Name | Kristin Levesque |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801209424 PECOS PAC ID: 0648564807 Enrollment ID: I20211004001957 |
| Provider Name | Stephanie Ng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447489174 PECOS PAC ID: 4688956261 Enrollment ID: I20211004002728 |
| Provider Name | Chioma Udemgba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003279399 PECOS PAC ID: 8426340662 Enrollment ID: I20211007001170 |
| Provider Name | Katherine Stachowicz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851745251 PECOS PAC ID: 2365735628 Enrollment ID: I20211007003333 |
| Provider Name | Danh Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497250542 PECOS PAC ID: 4385990563 Enrollment ID: I20211018000493 |
| Provider Name | Alisa Rakhmatullova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942705082 PECOS PAC ID: 5597153312 Enrollment ID: I20211028000679 |
| Provider Name | Kylie Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689187205 PECOS PAC ID: 4183986128 Enrollment ID: I20211130000871 |
| Provider Name | Natalie Jarian Morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609539600 PECOS PAC ID: 7113317876 Enrollment ID: I20211221000465 |
| Provider Name | Janelle Applewhaite |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881096329 PECOS PAC ID: 8628390978 Enrollment ID: I20220111002372 |
| Provider Name | Lindsay Marie Najjoum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548832298 PECOS PAC ID: 0941692586 Enrollment ID: I20220111002894 |
| Provider Name | Bita Naji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730343633 PECOS PAC ID: 6002072238 Enrollment ID: I20220121000079 |
| Provider Name | Fahmi Fahmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891711347 PECOS PAC ID: 2365630423 Enrollment ID: I20220131002351 |
| Provider Name | Semeen Ghani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790270577 PECOS PAC ID: 1850641051 Enrollment ID: I20220322003331 |
| Provider Name | Aeliya Kazmi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245761238 PECOS PAC ID: 1456746791 Enrollment ID: I20220323000512 |
| Provider Name | Usman Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386132231 PECOS PAC ID: 0648657148 Enrollment ID: I20220524000130 |
| Provider Name | Mfoniso Umoren |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144752106 PECOS PAC ID: 2264819671 Enrollment ID: I20220524000667 |
| Provider Name | Johanna Mckenna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265049324 PECOS PAC ID: 7911384359 Enrollment ID: I20220524001956 |
| Provider Name | Robert Silverbrook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083665558 PECOS PAC ID: 6709813074 Enrollment ID: I20220622001625 |
| Provider Name | Yewande Adeshina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346334596 PECOS PAC ID: 4880696582 Enrollment ID: I20220810000419 |
| Provider Name | Sona Aloyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457839383 PECOS PAC ID: 1456753516 Enrollment ID: I20220816002796 |
| Provider Name | Lisa Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801430053 PECOS PAC ID: 2567846587 Enrollment ID: I20220825000072 |
| Provider Name | Zonaira Shabbir Memon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679130991 PECOS PAC ID: 6901239698 Enrollment ID: I20220919002124 |
| Provider Name | Tina Lawson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326500216 PECOS PAC ID: 2264761956 Enrollment ID: I20221230000022 |
| Provider Name | Hanh Tran Bich Vu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851062335 PECOS PAC ID: 0042680209 Enrollment ID: I20230104000661 |
| Provider Name | David Dewitte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780666388 PECOS PAC ID: 0648365262 Enrollment ID: I20230119000056 |
| Provider Name | Gayathri Reddy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164430476 PECOS PAC ID: 3678572427 Enrollment ID: I20230130002543 |
| Provider Name | Nichole Perrin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053903831 PECOS PAC ID: 3779990395 Enrollment ID: I20230201000021 |
| Provider Name | Nina Eshaghi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013264589 PECOS PAC ID: 3577705045 Enrollment ID: I20230213001987 |
| Provider Name | Sylvia Np May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407334014 PECOS PAC ID: 4981077757 Enrollment ID: I20230224001707 |
| Provider Name | Iman Fobia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730613019 PECOS PAC ID: 4789003823 Enrollment ID: I20230306001887 |
| Provider Name | Allison Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528600707 PECOS PAC ID: 1355777947 Enrollment ID: I20230509001913 |
| Provider Name | Treya Browning |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780044115 PECOS PAC ID: 8224323282 Enrollment ID: I20230512000957 |
| Provider Name | Miki Hwang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588183800 PECOS PAC ID: 8123386158 Enrollment ID: I20230803001197 |
| Provider Name | Rufina Ewane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194128645 PECOS PAC ID: 4981097854 Enrollment ID: I20230807000671 |
| Provider Name | Joseph Dominic Shevchik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982086070 PECOS PAC ID: 9830460666 Enrollment ID: I20230811003369 |
| Provider Name | Samar Belaid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760979363 PECOS PAC ID: 3476800020 Enrollment ID: I20230831000890 |
| Provider Name | Sharon Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124305040 PECOS PAC ID: 9133408768 Enrollment ID: I20230921000950 |
| Provider Name | Sonya Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164181822 PECOS PAC ID: 8123488392 Enrollment ID: I20231003000012 |
| Provider Name | Robert Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538796131 PECOS PAC ID: 8022431568 Enrollment ID: I20231010000150 |
| Provider Name | Richard Webster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568083236 PECOS PAC ID: 5991115362 Enrollment ID: I20231011003658 |
| Provider Name | Dinna Getachew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144715020 PECOS PAC ID: 1658614565 Enrollment ID: I20231019002717 |
| Provider Name | Edmund Merife |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578188397 PECOS PAC ID: 3476970575 Enrollment ID: I20231106000063 |
| Provider Name | Jonathan Maltz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326041179 PECOS PAC ID: 3971751785 Enrollment ID: I20231128003741 |
| Provider Name | Jacqueline King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598716425 PECOS PAC ID: 4587896873 Enrollment ID: I20231128003901 |
| Provider Name | Shavonne Sweatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073258851 PECOS PAC ID: 7618356544 Enrollment ID: I20240118000924 |
| Provider Name | Loida Del Rio Lopez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851928238 PECOS PAC ID: 7618390881 Enrollment ID: I20240131001239 |
| Provider Name | Prarthana Piya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376291104 PECOS PAC ID: 1052750080 Enrollment ID: I20240423003024 |
| Provider Name | Saqueita Russell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760952816 PECOS PAC ID: 4082156195 Enrollment ID: I20240604003986 |
Alexandria Primary Care Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1500 N Beauregard St Ste 110, Alexandria, VA 22311 Phone: 703-370-9002 Fax: 703-370-2849 | |
Franconia Internists, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5115 Franconia Rd, Alexandria, VA 22310 Phone: 703-660-0026 Fax: 703-922-4253 | |
Bradlee Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3541 W Braddock Rd, 101, Alexandria, VA 22302 Phone: 703-379-6020 Fax: 703-820-8799 | |
Rediclinic Of Va, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7100 Silver Lake Blvd, Alexandria, VA 22315 Phone: 713-335-1731 Fax: 713-358-4881 | |
Avicenna Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5100 Leesburg Pike Ste 101, Alexandria, VA 22302 Phone: 703-705-9500 Fax: 703-417-9051 | |
First Step Family Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3303 Duke Street, Alexandria, VA 22314 Phone: 703-212-6644 Fax: 703-212-6619 | |
Ahmed Elebiary Md, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 900 Virginia Ave, Alexandria, VA 22302 Phone: 703-705-9500 Fax: 571-685-2016 |