Amin Nader Musaitif
Individual provider Active NPI Physician Assistant · Williamsburg, VA
NPI 1144969874 · NPPES record last updated May 13, 2024
Key facts
- NPI
- 1144969874
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0110008667 (VA)
- Practice address
- 400 Sentara Cir Ste 320
Williamsburg, VA 23188-5716 - Phone
- (757) 345-4800
- NPI assigned
- Jun 1, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 27
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sentara Medical Group
Inova Health Care Services
Practice addresses (Care Compare)
11803 Jefferson Ave
Newport News, VA 23606-2565
13575 Heathcote Blvd
Suite 200
Gainesville, VA 20155-6700
Phone (571) 472-2900
21785 Filigree CT
Suite 100
Ashburn, VA 20147-6214
Phone (703) 204-9301
3300 Gallows Rd
Falls Church, VA 22042-3307
3580 Joseph Siewick Dr
Fairfax, VA 22033-1764
400 Sentara Cir
Williamsburg, VA 23188-5716
400 Sentara Circle
350 Vascular and Transplant Specialists
Williamsburg, VA 23188-5716
Phone (757) 345-4460
830 Kempsville Rd
2B223
Norfolk, VA 23502-3920
Phone (757) 261-8860
850 Kempsville Rd
Norfolk, VA 23502-3920
Hospital & facility affiliations
- Sentara Williamsburg Regional Medical Center
- Sentara Careplex Hospital
- Inova Fairfax Hospital
- Sentara Norfolk General Hospital
- Riverside Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in VA, DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220926001585 | VA | Practitioner - Physician Assistant | 2365828589 | Reassigns benefits to 2 organizations |
| I20260511003923 | DC | Practitioner - Physician Assistant | 2365828589 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0110008667 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Medical Group | Current |
Accepting new patients | |
| Inova Health Care Services | Past | Accepting new patients |
Locations
600 Gresham Dr
Norfolk, VA 23507
Phone (757) 473-0055
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
400 Sentara Cir
Ste 320
Williamsburg, VA 23188
Phone (757) 345-4300
Interoperability endpoints
- amusaitif779774@direct.sentara.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | |||
| Physician Assistant | 363A00000X | 0110008667 | VA | Yes |
Addresses
Primary practice location
400 Sentara Cir Ste 320
Williamsburg, VA 23188-5716
Mailing address
400 Sentara Cir Ste 320
Williamsburg, VA 23188-5716
Phone (757) 345-4800
Other practice location 1
600 Gresham Dr
Norfolk, VA 23507-1904
Phone (757) 388-3000
Other providers in Williamsburg, VA
- Thomas Lee Munzel
- Kirsten Murphie
- Carter L Murphy
- Steven Lance Murphy
- Laura Dias Murray
- Joseph W Musgrave
- Christina A. Mutch
- Kevin Jacob Mutch
- Julia Lynn Myers
- Myeyedr Optometry of Virginia, PLLC
All providers in Williamsburg, VA · Physician Assistant in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.