Individual provider Active NPI

Liqaa Said Al-Khozaie, MD

  • Specialist
  • Woodbridge, VA
National Provider Identifier
1063514552
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101236747 Issued in VA
Practice address
14914 Jefferson Davis Hwy
Woodbridge, VA 22191-4016
Phone
(703) 499-9490
Fax
(703) 499-9491
NPI assigned
Sep 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101236747 VA Primary

Addresses

Primary practice location

14914 Jefferson Davis Hwy
Woodbridge, VA 22191-4016

Mailing address

14914 Richmond Hwy
Woodbridge, VA 22191
Phone (703) 499-9490

Other identifiers 1

IdentifierTypeStateIssuer
1063514552MedicaidVA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050816000829 VA Practitioner - Family PracticePractitioner - Geriatric Medicine 9638109986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14914 Jefferson Davis Hwy
Woodbridge, VA 22191-4016
Phone (703) 499-9490

Hospital & facility affiliations

  • Sentara Northern Virginia Medical Center Hospital, Woodbridge, VA, CCN 490113

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr-Al Family and Urgent Care, PLC CurrentSince May 3, 2009 Accepting new patients
Primary and Urgent Care LLC Specialist PastSince Jan 28, 2004 Accepting new patients
Senior and Adult Care LLC Specialist Past Accepting new patients

Locations

14914 Richmond Hwy
Woodbridge, VA 22191

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 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": "1157328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1063514552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14914 RICHMOND HWY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "22191",
            "telephone_number": "703-499-9490",
            "fax_number": "703-499-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14914 JEFFERSON DAVIS HWY",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221914016",
            "telephone_number": "703-499-9490",
            "fax_number": "703-499-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-KHOZAIE",
        "first_name": "LIQAA",
        "middle_name": "SAID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-04",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101236747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063514552",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.