Individual provider Active NPI

Raja Taher, NP

  • Family Nurse Practitioner
  • Centreville, VA
National Provider Identifier
1215767116
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024190226 Issued in VA
Practice address
5947 Baron Kent LN
Centreville, VA 20120-3436
Phone
(703) 623-8729
NPI assigned
Aug 5, 2024
Last updated
Aug 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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 0024190226 VA Primary

Addresses

Primary practice location

5947 Baron Kent LN
Centreville, VA 20120-3436

Mailing address

5947 Baron Kent LN
Centreville, VA 20120-3436
Phone (703) 623-8729

Other practice location 1

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (737) 776-4001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20241015002133 VA Practitioner - Nurse Practitioner 6507398559 Reassigns benefits to 3 organizations
I20241024000860 DC Practitioner - Nurse Practitioner 6507398559 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Internal Medicine IncGroup PAC ID 4082869250, 101 clinicians

Practice addresses (Care Compare)

41816 Fenway Cir
Ashburn, VA 20148-8069
Phone (347) 761-7200

550 S Carlin Springs Rd
Arlington, VA 22204-1022
Phone (703) 542-8329

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP CurrentSince Apr 1, 2025 Accepting new patients
Pai Participant 1 LLC CurrentSince Sep 27, 2025 Accepting new patients
Virginia Internal Medicine Inc CurrentSince Sep 12, 2024 Accepting new patients

Locations

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (317) 701-2379

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

550 S Carlin Springs Rd
Arlington, VA 22204
Phone (703) 379-7200

3440 S Jefferson St
Falls Church, VA 22041
Phone (703) 578-7108

1475 Virginia Ave
Harrisonburg, VA 22802
Phone (540) 564-3400

2978 Centreville Rd
Herndon, VA 20171
Phone (703) 934-5000

46531 Leesburg Pike
Sterling, VA 20164
Phone (703) 834-5800

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": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1215767116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5947 BARON KENT LN",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201203436",
            "telephone_number": "703-623-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5947 BARON KENT LN",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201203436",
            "telephone_number": "703-623-8729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Gallows Rd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423307",
            "country_code": "US",
            "telephone_number": "737-776-4001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAHER",
        "first_name": "RAJA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024190226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, VA

Sources for this page

Verify at the official NPI Registry.