Individual provider Active NPI

Alaa Osama Alabdul Razzaq

  • Internal Medicine Physician
  • Washington, DC
National Provider Identifier
1033561980
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD047437 Issued in DC
Practice address
110 Irving St NW
Dept of Internal Medicine
Washington, DC 20010-3017
Phone
(202) 877-8278
Fax
(202) 877-6292
NPI assigned
Jul 4, 2016
Last updated
Jul 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD047437 DC Primary

Addresses

Primary practice location

110 Irving St NW
Dept of Internal Medicine
Washington, DC 20010-3017

Mailing address

110 Irving St NW Ste 4B
Washington, DC 20010-3017
Phone (202) 877-5975

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20190926001595 DC Practitioner - Internal Medicine 5294065710 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD047437DCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
M Management Group LLC CurrentSince May 7, 2021 Accepting new patients
M Medical Group, Inc. Internal Medicine CurrentSince May 28, 2021 Accepting new patients
M Management Group LLC Current Accepting new patients
M Management Group, LLC CurrentSince May 7, 2021 Accepting new patients
M Medical Group, Inc. CurrentSince May 28, 2021 Accepting new patients
Washington Hospital Center Corp PastSince Jul 25, 2019 Accepting new patients

Locations

9106 Pine View Ln
Clinton, MD 20735
Phone (301) 856-2930

Organizations & group practices 6

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": "1467590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1033561980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 IRVING ST NW STE 4B",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200103017",
            "telephone_number": "202-877-5975",
            "fax_number": "202-877-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 IRVING ST NW",
            "address_2": "DEPT OF INTERNAL MEDICINE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200103017",
            "telephone_number": "202-877-8278",
            "fax_number": "202-877-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALABDUL RAZZAQ",
        "first_name": "ALAA",
        "middle_name": "OSAMA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-04",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD047437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.