Individual provider Active NPI

Arkann Al-Khalilee

  • Medical Physician Assistant
  • Springfield, VA
National Provider Identifier
1134947435
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110009884 Issued in VA
Practice address
7292 Olde Lantern Way
Springfield, VA 22152-3569
Phone
(330) 283-8371
NPI assigned
Sep 26, 2024
Last updated
Sep 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110009884 VA Primary

Addresses

Primary practice location

7292 Olde Lantern Way
Springfield, VA 22152-3569

Mailing address

7292 Olde Lantern Way
Springfield, VA 22152-3569

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241122000248 DC Practitioner - Physician Assistant 7012442445 Reassigns benefits to 1 organization
I20241217000061 VA Practitioner - Physician Assistant 7012442445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Drexel University College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastroenterology Associates of Northern Virginia, LLCGroup PAC ID 1759371008, 98 clinicians

Practice addresses (Care Compare)

3022 Williams Dr
Suite 301
Fairfax, VA 22031-4600
Phone (703) 698-8960

3700 Joseph Siewick Dr
Suite 308
Fairfax, VA 22033-1739
Phone (703) 716-8700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Old Dominion Anesthesia LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: arkann.alkhalilee@gastrohealth.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1134947435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7292 OLDE LANTERN WAY",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221523569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7292 OLDE LANTERN WAY",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221523569",
            "telephone_number": "330-283-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-KHALILEE",
        "first_name": "ARKANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110009884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

Verify at the official NPI Registry.