Khairunnisa Masood, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101237882 Issued in VA

Practice address

3930 Pender Dr Ste 230
Fairfax, VA 22030-0992

Phone

(703) 620-6221

Fax

(703) 620-6628

NPI assigned

Jul 15, 2006

Last updated

Nov 3, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

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

Specialty

General Practice

Education

Other, 1998

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prospect Homecare Agency Home health agency, Fairfax, VA, CCN 497719

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Active Medical Care LLC

  • Internal Medicine Physician
  • Fairfax, VA
  • NPI 1073757662

  DC, Specialist

  Medicare reassignment NPD Authorized official
• Advanced Internal Medicine, Inc.

  • Specialist
  • Fairfax, VA
  • NPI 1366468779

  DC

  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prospect Homecare Agency

  • Home Health Agency
  • Fairfax, VA
  • NPI 1730582107
  Care Compare affiliation

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1093731499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4879 MAYDE CT",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306618",
            "telephone_number": "703-620-6221",
            "fax_number": "703-620-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 PENDER DR STE 230",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220300992",
            "telephone_number": "703-620-6221",
            "fax_number": "703-620-6628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASOOD",
        "first_name": "KHAIRUNNISA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101237882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010300363",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Dieringer Mason, FNP-C
• David Mason, LPC
• Patrick William Mason, MD
• Masood Charitable Clinic
• Hiba Masood, FNP-BC
• Sadia Masood, M.D.
• Elsayed Masoud
• Aubrey Massmann, DO
• Reda Massoud, RPH
• Brian Joseph Masterson, MD, MPH

• Internal Medicine Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.