Individual provider Active NPI

Ayni Ahmed Sharif, PA-C

  • Physician Assistant
  • Richmond, VA
National Provider Identifier
1174853576
Registry record updated Sep 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
011000074 Issued in VA
Practice address
5922 W Broad St
Richmond, VA 23230-2231
Phone
(804) 282-6953
Fax
(804) 282-8215
NPI assigned
Jan 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 011000074 VA Primary

Addresses

Primary practice location

5922 W Broad St
Richmond, VA 23230-2231

Mailing address

5922 W Broad St
Richmond, VA 23230-2231
Phone (804) 282-6953

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120912000307 VA Practitioner - Physician Assistant 4284810177 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
011000074VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Rehab Consultants PLLC CurrentSince Mar 5, 2024 Accepting new patients
Virginia Em-I Medical Services, PC Past Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

173 Brockman Park Dr
Amherst, VA 24521
Phone (434) 841-2004

2715 Dogtown Rd
Goochland, VA 23063
Phone (609) 335-6595

Interoperability endpoints

  • Direct secure messaging: ayni.sharif.1@11136.direct.athenahealth.com

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": "1262736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1174853576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5922 W BROAD ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302231",
            "telephone_number": "804-282-6953",
            "fax_number": "804-282-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5922 W BROAD ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302231",
            "telephone_number": "804-282-6953",
            "fax_number": "804-282-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARIF",
        "first_name": "AYNI",
        "middle_name": "AHMED",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-06",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "011000074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.