Active NPI
Yara Bassam Nawaiseh, MD
- Student in an Organized Health Care Education/Training Program
- Norfolk, VA
National Provider Identifier
1083559520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 825 Fairfax Ave
Suite 563- Internal Medicine
Norfolk, VA 23507 - Phone
- (757) 446-5258
- Fax
- (757) 446-5258
- NPI assigned
- Apr 21, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
825 Fairfax Ave
Suite 563- Internal Medicine
Norfolk, VA 23507
Mailing address
Macon & Joan Brock VHS at Old Dominion University- Evms
Graduate Medical Education, P.O.Box 1980
Norfolk, VA 23501
Phone (757) 446-5258
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)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1083559520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MACON & JOAN BROCK VHS AT OLD DOMINION UNIVERSITY- EVMS",
"address_2": "GRADUATE MEDICAL EDUCATION, P.O.BOX 1980",
"city": "NORFOLK",
"state": "VA",
"postal_code": "23501",
"telephone_number": "757-446-5258",
"fax_number": "757-446-5258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 FAIRFAX AVE",
"address_2": "SUITE 563- INTERNAL MEDICINE",
"city": "NORFOLK",
"state": "VA",
"postal_code": "23507",
"telephone_number": "757-446-5258",
"fax_number": "757-446-5258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAWAISEH",
"first_name": "YARA",
"middle_name": "BASSAM",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-21",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.