Active NPI
Siesta Health Services PC
- Sleep Medicine (Family Medicine) Physician
- Dumfries, VA
National Provider Identifier
1194510115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Family Medicine) Physician
- Legal business name
- SIESTA HEALTH SERVICES PC
- Practice address
- 3763 Fettler Park Dr
Dumfries, VA 22025-1946 - Phone
- (866) 938-9996
- NPI assigned
- Apr 10, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mashkour Rab
- Title
- Office Manager
- Phone
- (832) 969-3844
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Family Medicine) Physician | 207QS1201X | Primary |
Addresses
Primary practice location
3763 Fettler Park Dr
Dumfries, VA 22025-1946
Mailing address
13036 Brierly Forest CT
Manassas, VA 20112-8869
Phone (866) 938-9996
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1744243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757376000000",
"number": "1194510115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13036 BRIERLY FOREST CT",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201128869",
"telephone_number": "866-938-9996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3763 FETTLER PARK DR",
"city": "DUMFRIES",
"state": "VA",
"postal_code": "220251946",
"telephone_number": "866-938-9996"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIESTA HEALTH SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-10",
"last_updated": "2025-09-09",
"certification_date": "2025-09-09",
"status": "A",
"authorized_official_last_name": "RAB",
"authorized_official_first_name": "MASHKOUR",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "832-969-3844"
},
"taxonomies": [
{
"code": "207QS1201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Sleep Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dumfries, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.