Individual provider Active NPI

Fahmina Hasan

  • Physician Assistant
  • Gainesville, VA
National Provider Identifier
1205684636
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110009847 Issued in VA
Practice address
14800 Lee Hwy
Gainesville, VA 20155-1842
Phone
(703) 743-7017
NPI assigned
May 9, 2024
Last updated
Jun 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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 0110009847 VA Primary

Addresses

Primary practice location

14800 Lee Hwy
Gainesville, VA 20155-1842

Mailing address

24560 Southpoint Dr Ste 200
Aldie, VA 20105-3505

Other practice location 1

24560 Southpoint Dr Ste 200
Aldie, VA 20105-3505
Phone (571) 570-4300

Other names 1

  • Fahmina Majumdar Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL NJExchange@patientfirstclinics.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20240715002875 DC Practitioner - Physician Assistant 3577008598 Reassigns benefits to 1 organization
I20240811000019 VA Practitioner - Physician Assistant 3577008598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10100 Fairfax Blvd
Fairfax, VA 22030-2000
Phone (703) 679-1876

14800 Lee Hwy
Gainesville, VA 20155-1842
Phone (703) 743-7017

2199 Old Bridge Rd
Woodbridge, VA 22192-2911
Phone (703) 357-9707

3918 Centreville Rd
Chantilly, VA 20151-3224
Phone (703) 657-6925

502 W Broad St
Falls Church, VA 22046-3204
Phone (571) 421-8431

60 Prosperity LN
Stafford, VA 22556-4605
Phone (540) 658-2811

601 Potomac Station Dr
Leesburg, VA 20176-1816
Phone (703) 840-1396

6311 Richmond Hwy
Alexandria, VA 22306-6410
Phone (703) 647-6087

9715 Liberia Ave
Manassas, VA 20110-5837
Phone (571) 229-1797

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110009847VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Richmond Medical Group PLLC CurrentSince Jun 1, 2024 Accepting new patients
Patient First Richmond Medical Group PLLC CurrentSince Jun 1, 2024 Accepting new patients
Patient First Maryland Medical Group, PLLC Past Accepting new patients

Locations

6311 Richmond Hwy
Alexandria, VA 22306
Phone (703) 647-6087

14800 Lee Hwy
Gainesville, VA 20155
Phone (703) 743-7017

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

601 Potomac Station Dr NE
Leesburg, VA 20176
Phone (703) 840-1396

Organizations & group practices 3

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": "1715212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1205684636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24560 SOUTHPOINT DR STE 200",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201053505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14800 LEE HWY",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201551842",
            "telephone_number": "703-743-7017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24560 Southpoint Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Aldie",
            "state": "VA",
            "postal_code": "201053505",
            "country_code": "US",
            "telephone_number": "571-570-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASAN",
        "first_name": "FAHMINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110009847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NJExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "14800 Lee Hwy",
            "city": "Gainesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201551842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "FAHMINA",
            "last_name": "MAJUMDAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gainesville, VA

Sources for this page

Verify at the official NPI Registry.