Individual provider Active NPI

Nadia E Bangura, PA-C

  • Physician Assistant
  • Alexandria, VA
National Provider Identifier
1073157228
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110007850 Issued in VA
Practice address
6355 Walker LN Ste 507
Alexandria, VA 22310-3251
Phone
(703) 738-4332
Fax
(703) 971-4605
NPI assigned
Oct 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110007850 VA Primary
Physician Assistant 363A00000X C0008046 MD

Addresses

Primary practice location

6355 Walker LN Ste 507
Alexandria, VA 22310-3251

Mailing address

11350 McCormick Rd
Executive Plaza 1, Ste. 501
Hunt Valley, MD 21031
Phone (709) 914-8000

Other practice location 1

8525 Rolling Rd Ste 300
Manassas, VA 20110-3673
Phone (703) 393-1667

Other practice location 2

6707 Democracy Blvd Ste 504
Bethesda, MD 20817-1166
Phone (301) 637-8712

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nbangura@spineandpain.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, NJ, MD4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20210614000038 VA Practitioner - Physician Assistant 5193125177 Reassigns benefits to 3 organizations
I20210917000364 DC Practitioner - Physician Assistant 5193125177 Reassigns benefits to 2 organizations
I20240114000041 NJ Practitioner - Physician Assistant 5193125177 Reassigns benefits to 1 organization
I20241029002952 MD Practitioner - Physician Assistant 5193125177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gold Standard Medical Group PC 32 clinicians

Practice addresses (Care Compare)

992 Clifton Ave
Clifton, NJ 07013-3502
Phone (201) 839-5016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0008046MDMDPhysician Assistant
0110007850VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Sep 3, 2024 Accepting new patients
Thrive Care LLC CurrentSince Oct 31, 2025 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Sep 3, 2024 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Sep 3, 2024 Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients
Psych Associates of Maryland LLC PastSince May 15, 2005 Accepting new patients
Physical Medicine Associates LTD Past Accepting new patients

Locations

6707 Democracy Blvd
Ste 504
Bethesda, MD 20817
Phone (301) 637-8712

10710 Charter Dr
Ste 300
Columbia, MD 21044
Phone 4106441880450

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

8525 Rolling Rd
Ste 300
Manassas, VA 20110
Phone 7033931667204

14605 Potomac Branch Dr
Ste 300
Woodbridge, VA 22191
Phone (703) 490-1112

Interoperability endpoints

  • Direct secure messaging: nbangura@spineandpain.emadirect.md
  • Direct secure messaging: 60nbangura@cfaortho.emadirect.md

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1073157228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK RD",
            "address_2": "EXECUTIVE PLAZA 1, STE. 501",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "21031",
            "telephone_number": "709-914-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 WALKER LN STE 507",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223103251",
            "telephone_number": "703-738-4332",
            "fax_number": "703-971-4605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8525 Rolling Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201103673",
            "country_code": "US",
            "telephone_number": "703-393-1667",
            "fax_number": "703-393-2517",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6707 Democracy Blvd Ste 504",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208171166",
            "country_code": "US",
            "telephone_number": "301-637-8712",
            "fax_number": "301-547-3366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANGURA",
        "first_name": "NADIA",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110007850",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0008046",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nbangura@spineandpain.emadirect.md",
            "affiliation": "N",
            "address_1": "6355 Walker Ln Ste 507",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223103251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.