Organization Active NPI

Capitol Anesthesia Group LLC

  • Anesthesiology Physician
  • Fairfax, VA
National Provider Identifier
1174828529
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
CAPITOL ANESTHESIA GROUP LLC
Practice address
3028 Javier Rd Ste 400
Fairfax, VA 22031-4622
Phone
(703) 716-1097
Fax
(703) 828-0942
NPI assigned
Jan 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Authorized official

Name
Ahmed Hegab, MD
Title
Member
Phone
(703) 716-1097

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X Primary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X

Addresses

Primary practice location

3028 Javier Rd Ste 400
Fairfax, VA 22031-4622

Mailing address

PO Box 221732
Chantilly, VA 20153-1732
Phone (703) 716-1097

Other practice location 1

3028 Javier Rd Ste 400
Fairfax, VA 22031-4622
Phone (703) 716-1097

National Provider Directory

National Provider Directory

Locations

6094 14th St W
#173
Bradenton, FL 34207

3028 Javier Rd
Ste 400
Fairfax, VA 22031
Phone (703) 716-1097

5701 Cleveland St
Ste 100
Virginia Beach, VA 23462
Phone (757) 547-0798

Practitioners & affiliated clinicians

Practitioners 4

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": "1295222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614902400000",
    "number": "1174828529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221732",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201531732",
            "telephone_number": "703-716-1097",
            "fax_number": "703-828-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3028 JAVIER RD STE 400",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314622",
            "telephone_number": "703-716-1097",
            "fax_number": "703-828-0942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3028 Javier Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220314622",
            "country_code": "US",
            "telephone_number": "703-716-1097",
            "fax_number": "703-828-0942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAPITOL ANESTHESIA GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-17",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A",
        "authorized_official_last_name": "HEGAB",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "703-716-1097",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.