Active NPI
One Pediatrics PLLC
- Pediatrics Physician
- Ashburn, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- ONE PEDIATRICS PLLC
- Practice address
- 20745 Williamsport PL Ste 340
Ashburn, VA 20147-6520 - Phone
- (917) 664-1143
- NPI assigned
- Feb 16, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hind Bouallali, MD
- Title
- Owner
- Phone
- (917) 664-1143
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
20745 Williamsport PL Ste 340
Ashburn, VA 20147-6520
Mailing address
1135 Secretariat CT
Great Falls, VA 22066-1715
Phone (917) 664-1143
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2178624 | One Pediatrics PLLC | Certificate of waiver | Feb 5, 2028 |
National Provider Directory
National Provider DirectoryLocations
20745 Williamsport Pl
Ste 340
Ashburn, VA 20147
Phone (917) 664-1143
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Ashburn, VA
- NPI 1427225788
-
- Neonatal-Perinatal Medicine Physician
- Bronx, NY
- NPI 1215104583
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1550275200000",
"number": "1104382985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1135 SECRETARIAT CT",
"city": "GREAT FALLS",
"state": "VA",
"postal_code": "220661715",
"telephone_number": "917-664-1143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20745 WILLIAMSPORT PL STE 340",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201476520",
"telephone_number": "917-664-1143"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ONE PEDIATRICS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-16",
"last_updated": "2019-02-16",
"status": "A",
"authorized_official_last_name": "BOUALLALI",
"authorized_official_first_name": "HIND",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-664-1143",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.