NPIMap

Individual provider Active NPI

Abdul Wahab, M.D.

  • Nephrology Physician
  • Falls Church, VA
National Provider Identifier
1043230980
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0101048306 Issued in VA
Practice address
6400 Arlington Blvd
Suite 940
Falls Church, VA 22042-2336
Phone
(703) 241-1010
Fax
(703) 241-7723
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 0101048306 VA Primary

Addresses

Primary practice location

6400 Arlington Blvd
Suite 940
Falls Church, VA 22042-2336

Mailing address

6400 Arlington Blvd
Suite 940
Falls Church, VA 22042-2336
Phone (703) 241-1010

Other identifiers 1

IdentifierTypeStateIssuer
5604451MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120123000158 DC Practitioner - Internal MedicinePractitioner - Nephrology 9335316983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6400 Arlington Blvd
Suite 940
Falls Church, VA 22042-2336
Phone (703) 569-6686

Hospital & facility affiliations

  • USRC Falls Church Dialysis Dialysis facility, Falls Church, VA, CCN 492705
  • Inova Home Health LLC Home health agency, Fairfax, VA, CCN 497008
  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063
  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040
  • Virginia Hospital Center Hospital, Arlington, VA, CCN 490050
  • Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122

Merit-based Incentive Payment System (MIPS)

Final score
27.07 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
90.23

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Abdul Wahab M D P C Nephrology CurrentSince Apr 22, 1993 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Springfield Medical Clinic Nephrology Past Accepting new patients

Locations

6400 Arlington Blvd
Ste 940
Falls Church, VA 22042
Phone (703) 241-1010

6365 Rolling Mill Pl
Ste 103
Springfield, VA 22152
Phone (703) 569-6686

Organizations & group practices 3

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1043230980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 ARLINGTON BLVD",
            "address_2": "SUITE 940",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220422336",
            "telephone_number": "703-241-1010",
            "fax_number": "703-241-7723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 ARLINGTON BLVD",
            "address_2": "SUITE 940",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220422336",
            "telephone_number": "703-241-1010",
            "fax_number": "703-241-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHAB",
        "first_name": "ABDUL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101048306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5604451",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.