NPIMap

Individual provider Active NPI

Taaliba Al-Alim Sahib Jr., AG ACNP

  • Nurse Practitioner
  • Glen Allen, VA
National Provider Identifier
1174979587
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024175434 Issued in VA
Practice address
721 McCormick Farm Dr Unit B
Glen Allen, VA 23060-4035
Phone
(757) 214-3998
NPI assigned
May 5, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X AC004504 MD
Nurse Practitioner 363L00000X 0024175434 VA Primary
Acute Care Nurse Practitioner 363LA2100X RN228237 GA

Addresses

Primary practice location

721 McCormick Farm Dr Unit B
Glen Allen, VA 23060-4035

Mailing address

100 Hospital Rd
Prince Frederick, MD 20678-4017
Phone (757) 316-5800

Other practice location 1

900 Elkridge Landing Rd Fl 2
Linthicum, MD 21090-2924
Phone (757) 214-3998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MD, DC3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180125000890 VA Practitioner - Nurse Practitioner 4082973706 Reassigns benefits to 5 organizations
I20220124002015 MD Practitioner - Nurse Practitioner 4082973706 Reassigns benefits to 3 organizations
I20240222004157 DC Practitioner - Nurse Practitioner 4082973706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mdics at Calvert LLCGroup PAC ID 6406017425, 26 clinicians
Sound Physicians Intensivists of Virginia LLCGroup PAC ID 1759611411, 49 clinicians

Practice addresses (Care Compare)

100 Hospital Rd
Prince Frederick, MD 20678-4016
Phone (410) 535-4000

13710 St Francis Blvd
Midlothian, VA 23114-3267
Phone (804) 594-7300

7601 Osler Dr
Towson, MD 21204-7700
Phone (410) 337-4877

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AC004504MDMDInternal Medicine Physician
0024175434VAMDNurse Practitioner
RN228237GAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Jun 1, 2024 Accepting new patients
Medstar Medical Group II LLC Internal Medicine CurrentSince Dec 27, 2023 Accepting new patients
Riverside Physician Services Inc CurrentSince Jun 17, 2019 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
Carilion Healthcare Corporation CurrentSince Jan 12, 2022 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 27, 2023 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Jan 1, 2020 Accepting new patients
Carilion Healthcare Corporation CurrentSince Jan 12, 2022 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC Nurse Practitioner CurrentSince Jan 1, 2020 Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Jun 1, 2024 Accepting new patients
Riverside Physician Services, Inc. Internal Medicine CurrentSince Jun 17, 2019 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Jan 12, 2022 Accepting new patients
Mdics at Calvert LLC CurrentSince Dec 12, 2021 Accepting new patients
Sound Physicians Intensivists of Virginia LLC Nurse Practitioner CurrentSince Nov 11, 2024 Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

1 Health Cir
Lexington, VA 24450
Phone (540) 458-3300

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

12200 Warwick Blvd
Ste 290
Newport News, VA 23601
Phone (757) 534-5454

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

858 J Clyde Morris Blvd
Newport News, VA 23601
Phone (757) 594-4343

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

180 Floyd Ave
Rocky Mount, VA 24151
Phone (540) 483-5277

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

5838 Harbour View Blvd
Ste 270
Suffolk, VA 23435
Phone (757) 541-1050

618 Hospital Rd
Tappahannock, VA 22560
Phone (804) 443-3311

Interoperability endpoints

  • Direct secure messaging: tsahib122701@direct.rivhs.com
  • Direct secure messaging: tsahib1103848@direct.umm.edu

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1174979587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784017",
            "telephone_number": "757-316-5800",
            "fax_number": "757-534-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 MCCORMICK FARM DR UNIT B",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230604035",
            "telephone_number": "757-214-3998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Elkridge Landing Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Linthicum",
            "state": "MD",
            "postal_code": "210902924",
            "country_code": "US",
            "telephone_number": "757-214-3998",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAHIB",
        "first_name": "TAALIBA",
        "middle_name": "AL-ALIM",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "AG ACNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-05",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "AC004504",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024175434",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN228237",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

Verify at the official NPI Registry.