Individual provider Active NPI

Fuad Alykhan, M.D.

  • Internal Medicine Physician
  • Ashburn, VA
National Provider Identifier
1013192327
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101059077 Issued in VA
Practice address
44320 Premier PLZ
Suite 120
Ashburn, VA 20147-5076
Phone
(703) 726-9056
Fax
(703) 726-9058
NPI assigned
Jan 4, 2008
Last updated
Jan 6, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101059077 VA Primary
Pediatrics Physician 208000000X 0101059077 VA

Addresses

Primary practice location

44320 Premier PLZ
Suite 120
Ashburn, VA 20147-5076

Mailing address

44320 Premier PLZ
Suite 120
Ashburn, VA 20147-5077
Phone (703) 726-9056

Other identifiers 1

IdentifierTypeStateIssuer
PTAN C11023OtherVAMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100330000456 VA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 5496881435 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

44320 Premier PLZ
Suite 120
Ashburn, VA 20147-5077
Phone (703) 726-9056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101059077VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Loudoun Walk in Medical Center, LLC CurrentSince Feb 1, 2010 Accepting new patients

Locations

44320 Premier Plz
Ste 120
Ashburn, VA 20147
Phone (703) 726-9056

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1013192327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44320 PREMIER PLZ",
            "address_2": "SUITE 120",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475077",
            "telephone_number": "703-726-9056",
            "fax_number": "703-726-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44320 PREMIER PLZ",
            "address_2": "SUITE 120",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475076",
            "telephone_number": "703-726-9056",
            "fax_number": "703-726-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALYKHAN",
        "first_name": "FUAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-04",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101059077",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101059077",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "PTAN C11023",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

Verify at the official NPI Registry.