NPIMap

Organization Active NPI

Endocrine and Diabetes Center P.C.

  • Endocrinology, Diabetes & Metabolism Physician
  • Vienna, VA
National Provider Identifier
1154487007
Registry record updated Oct 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
101040528 Issued in VA
Legal business name
ENDOCRINE AND DIABETES CENTER P.C.
Practice address
301 Maple Ave W
Suite 120
Vienna, VA 22180-4301
Phone
(703) 938-8885
Fax
(703) 242-2437
NPI assigned
Dec 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2013

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

Authorized official

Name
Dr. Ali M Safa, M.D.NPI 1952475048
Title
President
Phone
(703) 938-8885

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)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X 101040528 VA Primary

Addresses

Primary practice location

301 Maple Ave W
Suite 120
Vienna, VA 22180-4301

Mailing address

301 Maple Ave W
Suite 120
Vienna, VA 22180-4301
Phone (703) 938-8885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040729001555 DC Part B Supplier - Clinic/Group Practice 8224008891 Receives reassigned benefits from 3 practitioners
Practice locations: Vienna, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D0978854Endocrine and Diabetes Center PC301 Maple Avenue W - Sutie 120, Vienna, VA 22180Certificate of waiverOct 3, 2026

National Provider Directory

National Provider Directory

Locations

301 Maple Ave W
Ste 120
Vienna, VA 22180
Phone (703) 938-8885

301 Maple Ave W
Ste 3A
Vienna, VA 22180
Phone (703) 938-8885

112 Pleasant St NW
Ste 3A
Vienna, VA 22180

301 Maple Ave W
Vienna, VA 22180
Phone (407) 334-2140

112 Pleasant St NW
Ste A
Vienna, VA 22180
Phone (703) 938-8885

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1154487007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MAPLE AVE W",
            "address_2": "SUITE 120",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804301",
            "telephone_number": "703-938-8885",
            "fax_number": "703-242-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MAPLE AVE W",
            "address_2": "SUITE 120",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804301",
            "telephone_number": "703-938-8885",
            "fax_number": "703-242-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCRINE AND DIABETES CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "SAFA",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-938-8885",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "VA",
            "license": "101040528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.