Individual provider Active NPI

Nadeem Ikram, MEDICAL EQUIPMENT SU

  • Durable Medical Equipment & Medical Supplies
  • Alexandria, VA
National Provider Identifier
1013213875
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
9000 Issued in VA
Practice address
6303 Little River Tpke
Suite Number 335
Alexandria, VA 22312-5000
Phone
(703) 825-8989
Fax
(703) 879-4618
NPI assigned
Jan 26, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 9000 VA Primary

Addresses

Primary practice location

6303 Little River Tpke
Suite Number 335
Alexandria, VA 22312-5000

Mailing address

6910 Elon Dr
Fredericksburg, VA 22407-3730
Phone (703) 825-8989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9000VAMDHome Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1013213875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 ELON DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224073730",
            "telephone_number": "703-825-8989",
            "fax_number": "703-879-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6303 LITTLE RIVER TPKE",
            "address_2": "SUITE NUMBER 335",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223125000",
            "telephone_number": "703-825-8989",
            "fax_number": "703-879-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKRAM",
        "first_name": "NADEEM",
        "name_prefix": "Mr.",
        "credential": "MEDICAL EQUIPMENT SU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-26",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": "9000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.