Active NPI
Amged Gamil Younan, LSA
- Surgical Assistant
- Leesburg, VA
National Provider Identifier
1043352842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 0139
- Practice address
- 44045 Riverside Pkwy
Leesburg, VA 20176-5101 - Phone
- (703) 858-6000
- NPI assigned
- Feb 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 0136000183 | VA | |
| Surgical Assistant | 246ZC0007X | 05-254 | VA | |
| Surgical Assistant | 246ZC0007X | 0139 | DC | Primary |
Addresses
Primary practice location
44045 Riverside Pkwy
Leesburg, VA 20176-5101
Mailing address
6502 Insignia CT
Centreville, VA 20121-2318
Phone (703) 565-3269
Other practice location 1
1200 Pecan St SE
Washington, DC 20032-2652
Phone (771) 444-6200
Other practice location 2
24440 Stone Springs Blvd
Dulles, VA 20166-2247
Phone (571) 349-4000
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-254 | FL | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788739200000",
"number": "1043352842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6502 INSIGNIA CT",
"city": "CENTREVILLE",
"state": "VA",
"postal_code": "201212318",
"telephone_number": "703-565-3269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44045 RIVERSIDE PKWY",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201765101",
"telephone_number": "703-858-6000"
}
],
"practiceLocations": [
{
"address_1": "1200 Pecan St SE",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200322652",
"country_code": "US",
"telephone_number": "771-444-6200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "24440 Stone Springs Blvd",
"address_purpose": "LOCATION",
"city": "Dulles",
"state": "VA",
"postal_code": "201662247",
"country_code": "US",
"telephone_number": "571-349-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUNAN",
"first_name": "AMGED",
"middle_name": "GAMIL",
"credential": "LSA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-12",
"last_updated": "2026-09-07",
"certification_date": "2026-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "VA",
"license": "0136000183",
"primary": false
},
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "VA",
"license": "05-254",
"primary": false
},
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "DC",
"license": "0139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.