Individual provider Active NPI

Azin Raouf

  • Family Nurse Practitioner
  • Aldie, VA
National Provider Identifier
1164966990
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024174290 Issued in VA
Practice address
24419 Millstream Dr
Aldie, VA 20105-5837
Phone
(703) 957-1800
NPI assigned
Dec 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024174290 VA Primary

Addresses

Primary practice location

24419 Millstream Dr
Aldie, VA 20105-5837

Mailing address

2018 Peach Orchard Dr Apt 11
Falls Church, VA 22043-2045
Phone (207) 409-3434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20171030002934 DC Practitioner - Nurse Practitioner 7113293572 Reassigns benefits to 1 organization
I20200217000182 MD Practitioner - Nurse Practitioner 7113293572 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Urgent Care LLCGroup PAC ID 9335303155, 300 clinicians

Practice addresses (Care Compare)

11915 Georgia Ave
Wheaton, MD 20902-2065
Phone (301) 942-4505

12111 Darnestown Rd
Gaithersburg, MD 20878-3211
Phone (301) 926-3095

12220 Rockville Pike
Rockville, MD 20852-1608
Phone (301) 881-0103

18045 Georgia Ave
Olney, MD 20832-2237
Phone (301) 774-8026

19777 Frederick Rd
Germantown, MD 20876-1307
Phone (240) 388-9314

20 University Blvd E
Silver Spring, MD 20901-2436
Phone (240) 863-2720

350 Fortune Ter
Suite D
Potomac, MD 20854-2910
Phone (443) 584-5323

4507 Stanford St
Bethesda, MD 20815-5205
Phone (443) 302-9258

6317 York Rd
Baltimore, MD 21212-2310
Phone (443) 777-6890

882 Muddy Branch Rd
Gaithersburg, MD 20878-2780
Phone (301) 216-1245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024174290VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Urgent Care LLC Current Accepting new patients
Medstar Urgent Care LLC CurrentSince Dec 1, 2020 Accepting new patients
Medstar Urgent Care LLC CurrentSince Dec 1, 2020 Accepting new patients
Medstar Urgent Care, LLC Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2114 Generals Hwy
Annapolis, MD 21401
Phone (410) 224-6483

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

4507 Stanford St
Chevy Chase, MD 20815
Phone (443) 302-9258

2401 Brandermill Blvd
Ste 100
Gambrills, MD 21054
Phone (410) 224-6483

7698 Dorchester Blvd
Ste 204
Hanover, MD 21076

12220 Rockville Pike
Rockville, MD 20852
Phone (301) 468-6483

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

3350 Crain Hwy
Waldorf, MD 20603
Phone (443) 332-4260

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1164966990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2018 PEACH ORCHARD DR APT 11",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220432045",
            "telephone_number": "207-409-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24419 MILLSTREAM DR",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201055837",
            "telephone_number": "703-957-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAOUF",
        "first_name": "AZIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-13",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aldie, VA

Sources for this page

Verify at the official NPI Registry.