Bushra Alam, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110007335 Issued in VA

Practice address

19441 Golf Vista Plaza Suite 310 & 230
Leesburg, VA 20176-8272

Phone

(703) 729-3420

Fax

(703) 729-3422

NPI assigned

Oct 31, 2019

Last updated

Nov 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allphases Dermatology LLCGroup PAC ID 7012983414, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75.95 of 100Reported as group

Quality

78.27

Promoting interoperability

91

Improvement activities

20

Cost

74.08

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Allphases Dermatology LLC

  • Dermatology Physician
  • Alexandria, VA
  • NPI 1053598474

  DC

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1144864364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224D CORNWALL ST NW STE 403",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762704",
            "telephone_number": "703-737-6010",
            "fax_number": "571-291-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19441 GOLF VISTA PLAZA SUITE 310 & 230",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768272",
            "telephone_number": "703-729-3420",
            "fax_number": "703-729-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAM",
        "first_name": "BUSHRA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110007335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144864364",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Lansdowne",
            "affiliation": "Y",
            "endpointDescription": "clinic address",
            "affiliationName": "PIEDMONT BEHAVIORAL SERVICES, PC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Clinic",
            "address_1": "19465 Deerfield Ave Ste 205",
            "city": "Lansdowne",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201761703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Simren Kaur Ajrawat, FNP-BC
• Farooq Akbar, MD
• Nauman J Akhtar, M.D.
• Saif A Al Qaraghuli, PA-C
• Sibel Al-Barzinji, MSW
• Marybeth Albence, LCSW
• Gerald L Alcantara, CRNA
• Bryan C Aldeghi, CSFA
• Katarina Alexa Alem, DMD, MS
• Bethel Alemayehu, MD

• Physician Assistant in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.