Individual provider Active NPI

Yara Bassam Nawaiseh, MD

  • Student in an Organized Health Care Education/Training Program
  • Norfolk, VA
National Provider Identifier
1083559520
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
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

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.