Individual provider Active NPI

Abu Sheriff, NP

  • Adult Health Clinical Nurse Specialist
  • Woodbridge, VA
National Provider Identifier
1043764632
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
0024173725 Issued in VA
Practice address
12731 Marblestone Dr Ste 200
Woodbridge, VA 22192-8334
Phone
(703) 897-4700
Fax
(703) 897-6603
NPI assigned
Aug 11, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X 0024173725 VA Primary

Addresses

Primary practice location

12731 Marblestone Dr Ste 200
Woodbridge, VA 22192-8334

Mailing address

12731 Marblestone Dr Ste 200
Woodbridge, VA 22192-8334
Phone (703) 897-4700

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170209001144 VA Practitioner - Nurse Practitioner 6103109517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardinal Internal Medicine AssociatesGroup PAC ID 2769379148, 7 clinicians

Practice addresses (Care Compare)

12731 Marblestone Dr
Suite 200
Woodbridge, VA 22192-8334
Phone (703) 897-4700

Hospital & facility affiliations

  • Mary Washington Hospital Hospital, Fredericksburg, VA, CCN 490022
  • Stafford Hospital, LLC Hospital, Stafford, VA, CCN 490140

Merit-based Incentive Payment System (MIPS)

Final score
88.28 of 100Reported as group
Quality
86.06
Promoting interoperability
100
Improvement activities
40
Cost
74.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024173725VAMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Cardinal Internal Medicine Associates CurrentSince Nov 27, 2016 Accepting new patients

Locations

608 Garrisonville Rd
Ste 201
Stafford, VA 22554
Phone (540) 659-4157

12604 Lake Ridge Dr
Woodbridge, VA 22192
Phone (540) 310-0117

12731 Marblestone Dr
Ste 200
Woodbridge, VA 22192
Phone (703) 497-4700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FCJAAA/Endpoint/FCJAAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/FCJAAA

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1043764632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12731 MARBLESTONE DR STE 200",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928334",
            "telephone_number": "703-897-4700",
            "fax_number": "703-897-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12731 MARBLESTONE DR STE 200",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928334",
            "telephone_number": "703-897-4700",
            "fax_number": "703-897-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERIFF",
        "first_name": "ABU",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "VA",
            "license": "0024173725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.