Individual provider Active NPI

Ibtesam Gouhar Zahid, DO

  • Adult Medicine Physician
  • Springfield, VA
National Provider Identifier
1154065092
Registry record updated May 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
0102208732 Issued in VA
Practice address
6128 Brandon Ave Ste 201
Springfield, VA 22150-2693
Phone
(703) 780-2800
NPI assigned
Apr 26, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102208732 VA
Adult Medicine Physician 207QA0505X 0102208732 VA Primary

Addresses

Primary practice location

6128 Brandon Ave Ste 201
Springfield, VA 22150-2693

Mailing address

2435 Birch Cove Rd
Herndon, VA 20171-5361

Other practice location 1

5486 Indian River Rd
Virginia Beach, VA 23464-5365
Phone (757) 424-2490

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL VAExchange@patientfirstclinics.com Health Information Exchange (HIE)

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240909003071 DC Practitioner - Family Practice 4981067352 Reassigns benefits to 1 organization
I20240910003652 VA Practitioner - Family Practice 4981067352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2435 Birch Cove Rd
Herndon, VA 20171-5361

5000 Cox Rd
Glen Allen, VA 23060-9263

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
0102208732VAMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Richmond Medical Group PLLC Family Medicine CurrentSince Jul 9, 2024 Accepting new patients
Patient First Richmond Medical Group PLLC Family Medicine CurrentSince Jul 9, 2024 Accepting new patients

Locations

6311 Richmond Hwy
Alexandria, VA 22306
Phone (703) 647-6087

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

601 Potomac Station Dr NE
Leesburg, VA 20176
Phone (703) 840-1396

5486 Indian River Rd
Virginia Beach, VA 23464
Phone (757) 424-2490

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778976000000",
    "number": "1154065092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 BIRCH COVE RD",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201715361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6128 BRANDON AVE STE 201",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502693",
            "telephone_number": "703-780-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5486 Indian River Rd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234645365",
            "country_code": "US",
            "telephone_number": "757-424-2490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAHID",
        "first_name": "IBTESAM",
        "middle_name": "GOUHAR",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-26",
        "last_updated": "2026-05-17",
        "certification_date": "2026-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102208732",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "VA",
            "license": "0102208732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "VAExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5486 Indian River Rd",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234645365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

Verify at the official NPI Registry.