Individual provider Active NPI

Sadiatu Malike

  • Family Nurse Practitioner
  • Alexandria, VA
National Provider Identifier
1215470133
Registry record updated Jan 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024174208 Issued in VA
Practice address
5845 Richmond Hwy Ste 150
Alexandria, VA 22303-1868
Phone
(703) 538-2065
NPI assigned
Nov 25, 2016
Last updated
Jan 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024174208 VA Primary

Addresses

Primary practice location

5845 Richmond Hwy Ste 150
Alexandria, VA 22303-1868

Mailing address

8319 Duck Hawk Way
Lorton, VA 22079-2825
Phone (703) 870-0979

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
I20170710001295 DC Practitioner - Nurse Practitioner 2769751676 Reassigns benefits to 3 organizations
I20200203002127 VA Practitioner - Nurse Practitioner 2769751676 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

12701 Marblestone Dr
Suite 160B
Woodbridge, VA 22192-8326
Phone (703) 899-9401

1701 N George Mason Dr
Arlington, VA 22205-3610
Phone (703) 558-5000

1850 Town Ctr Pkwy
Reston, VA 20190-3204
Phone (240) 686-2300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024174208VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Aug 17, 2022 Accepting new patients
Carelon Medical Partners, PC CurrentSince Jan 6, 2020 Accepting new patients
Emergency Medicine Associates P.a., P.C. Current Accepting new patients
Dulima Medical Services LLC Family CurrentSince Oct 1, 2025 Accepting new patients
Rahel G. Yirga MD PC CurrentSince Dec 4, 2021 Accepting new patients
Privia Medical Group, LLC CurrentSince Aug 17, 2022 Accepting new patients
Emergency Medicine Associates, PA CurrentSince Apr 1, 2025 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Apr 1, 2025 Accepting new patients
Capital Hospice Past Accepting new patients
Capital Palliative Care Consultants, LLC Past Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

333 Commerce St
Ste 700
Nashville, TN 37201
Phone (615) 627-2293

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

6035 Burke Centre Pkwy
Ste 390
Burke, VA 22015
Phone (703) 978-0756

919 E Main St
Ste 1000
Richmond, VA 23219
Phone (804) 729-6904

20 Pidgeon Hill Dr
Ste 208
Sterling, VA 20165
Phone (703) 539-6029

12701 Marblestone Dr
Ste 160B
Woodbridge, VA 22192
Phone (703) 899-9401

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1480032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1215470133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8319 DUCK HAWK WAY",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220792825",
            "telephone_number": "703-870-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5845 RICHMOND HWY STE 150",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223031868",
            "telephone_number": "703-538-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIKE",
        "first_name": "SADIATU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-25",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.