Individual provider Active NPI

Imran Akram, MD

  • Psychiatry Physician
  • Reston, VA
National Provider Identifier
1053449389
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101240428 Issued in VA
Practice address
1800 Town Center Dr Ste 420
Reston, VA 20190-3240
Phone
(703) 574-6311
NPI assigned
Feb 28, 2007
Last updated
Sep 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101240428 VA Primary

Addresses

Primary practice location

1800 Town Center Dr Ste 420
Reston, VA 20190-3240

Mailing address

7969 Ashton Ave
Manassas, VA 20109-2885
Phone (703) 792-7826

Other practice location 1

1860 Town Center Dr
340
Reston, VA 20190-5896
Phone (434) 989-4901

Other practice location 2

8680 Hospital Way
Manassas, VA 20110-4287
Phone (703) 369-8464

Other identifiers 1

IdentifierTypeStateIssuer
VV31510281OtherMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address iakram705879@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070530000378 VA Practitioner - Psychiatry 9234237124 Reassigns benefits to 2 organizations
I20161025001256 DC Practitioner - Psychiatry 9234237124 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8680 Hospital Way
Manassas, VA 20110-4287
Phone (703) 369-8465

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prince William County Community Services Board CurrentSince Oct 19, 2020 Accepting new patients
Prince William County CurrentSince Oct 19, 2020 Accepting new patients
NMG Affiliate Practice I, LLC CurrentSince Sep 1, 2022 Accepting new patients
Imran Akram MD PC Psychiatry PastSince Feb 15, 2010 Accepting new patients
Alexian Brothers Behavioral Health Hospital Psychiatry Past Accepting new patients

Locations

7969 Ashton Ave
Manassas, VA 20109
Phone (703) 792-7826

8680 Hospital Way
Manassas, VA 20110
Phone (703) 369-8055

14011 Worth Ave
Ste 110
Woodbridge, VA 22192

Interoperability endpoints

  • Direct secure messaging: iakram705879@direct.novanthealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1053449389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7969 ASHTON AVE",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201092885",
            "telephone_number": "703-792-7826",
            "fax_number": "703-792-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 TOWN CENTER DR STE 420",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903240",
            "telephone_number": "703-574-6311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1860 Town Center Dr",
            "address_2": "340",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201905896",
            "country_code": "US",
            "telephone_number": "434-989-4901",
            "fax_number": "703-738-7733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8680 Hospital Way",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201104287",
            "country_code": "US",
            "telephone_number": "703-369-8464",
            "fax_number": "703-369-8467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AKRAM",
        "first_name": "IMRAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101240428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "VV31510281",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "iakram705879@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1860 Town Center Dr",
            "address_2": "340",
            "city": "Reston",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201905896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.