Individual provider Active NPI

Ekram G Guirguis, MD

  • Family Medicine Physician
  • Fredericksburg, VA
National Provider Identifier
1083682843
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101-239161 Issued in VA
Practice address
3031 Plank Rd
Fredericksburg, VA 22401-4951
Phone
(540) 736-5043
NPI assigned
Mar 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101-239161 VA Primary

Addresses

Primary practice location

3031 Plank Rd
Fredericksburg, VA 22401-4951

Mailing address

5000 Cox Rd
Glen Allen, VA 23060-9263
Phone (804) 968-5700

Other practice location 1

4370 Starkey Rd
Suite 4A
Roanoke, VA 24018-0607
Phone (540) 265-6710

Other practice location 2

15237 Creativity Dr
Culpeper, VA 22701
Phone (540) 321-4281

Other identifiers 4

IdentifierTypeStateIssuer
VV5068BOtherVAMEDICARE
P00621589OtherVAMEDIC ARE RR
P02045182OtherVARR MEDICARE
1083682843MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address VAExchange@patientfirstclinics.com Health Information Exchange (HIE)

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
I20060127000088 VA Practitioner - Family Practice 6204890395 Reassigns benefits to 1 organization
I20191210002771 DC Practitioner - Family Practice 6204890395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

601 Potomac Station Dr
Leesburg, VA 20176-1816
Phone (703) 840-1396

6311 Richmond Hwy
Alexandria, VA 22306-6410
Phone (703) 647-6087

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101-239161VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Richmond Medical Group PLLC Family Medicine CurrentSince Oct 12, 2019 Accepting new patients
Patient First Richmond Medical Group PLLC Family Medicine CurrentSince Oct 12, 2019 Accepting new patients
Charles Cole Memorial Hospital D/B/a Upmc Cole Past Accepting new patients
Charles Cole Memorial D/B/a Upmc Cole Past Accepting new patients
Carilion Healthcare Corporation Past Accepting new patients

Locations

6311 Richmond Hwy
Alexandria, VA 22306
Phone (703) 647-6087

3031 Plank Rd
Fredericksburg, VA 22401
Phone (540) 736-5043

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

601 Potomac Station Dr NE
Leesburg, VA 20176
Phone (703) 840-1396

Interoperability endpoints

  • Direct secure messaging: vaexchange@patientfirstclinics.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1083682843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263",
            "telephone_number": "804-968-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 PLANK RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014951",
            "telephone_number": "540-736-5043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4370 Starkey Rd",
            "address_2": "Suite 4A",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240180607",
            "country_code": "US",
            "telephone_number": "540-265-6710",
            "fax_number": "540-265-6712",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15237 Creativity Dr",
            "address_purpose": "LOCATION",
            "city": "Culpeper",
            "state": "VA",
            "postal_code": "22701",
            "country_code": "US",
            "telephone_number": "540-321-4281",
            "fax_number": "540-321-4282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUIRGUIS",
        "first_name": "EKRAM",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101-239161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "VV5068B",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDIC ARE RR",
            "identifier": "P00621589",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P02045182",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083682843",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VAExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3031 Plank Rd",
            "city": "Fredericksburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "224014951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.