Individual provider Active NPI

Waliah Abdul-Razaq, MD

  • Psychiatry Physician
  • Washington, DC
National Provider Identifier
1225617814
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD600004224 Issued in DC
Practice address
1200 G St NW Ste 800
Washington, DC 20005-6705
Phone
(215) 290-8197
NPI assigned
Apr 2, 2021
Last updated
Sep 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD MD
Psychiatry Physician 2084P0800X MD600004224 DC Primary
Psychiatry Physician 2084P0800X MD491802 PA
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1200 G St NW Ste 800
Washington, DC 20005-6705

Mailing address

1 Florida Ave NE Apt 708
Washington, DC 20002-9082

Other practice location 1

1 Florida Ave NE Apt 708
Washington, DC 20002-9082
Phone (215) 290-8197

Other practice location 2

20 F St NW Fl 7
Washington, DC 20001-6700
Phone (267) 626-9900

Other practice location 3

2041 Georgia Ave NW
Washington, DC 20060-0001
Phone (202) 865-6100

Other names 1

  • Dr. Waliah Ajisafe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251215003484 PA Practitioner - Psychiatry 0042704249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

367 S Gulph Rd
King of Prussia, PA 19406-3121

722 E Butler Pike
Ambler, PA 19002-2310

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD600004224DCMDPsychiatry Physician
MD491802PAMDPsychiatry Physician
MDMDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Pennsylvania Physician Alliance LLC CurrentSince Nov 17, 2025 Accepting new patients

Locations

2 Hospital Dr
Clarion, PA 16214
Phone (800) 253-4906

722 E Butler Pike
Maple Glen, PA 19002
Phone (215) 643-7800

4641 E Roosevelt Blvd
Philadelphia, PA 19124
Phone (215) 831-4600

Organizations & group practices 1

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": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1225617814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FLORIDA AVE NE APT 708",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200029082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 G ST NW STE 800",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200056705",
            "telephone_number": "215-290-8197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Florida Ave NE Apt 708",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200029082",
            "country_code": "US",
            "telephone_number": "215-290-8197",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 F St NW Fl 7",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200016700",
            "country_code": "US",
            "telephone_number": "267-626-9900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2041 Georgia Ave NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200600001",
            "country_code": "US",
            "telephone_number": "202-865-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDUL-RAZAQ",
        "first_name": "WALIAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-02",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "MD",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MD600004224",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD491802",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WALIAH",
            "last_name": "AJISAFE",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.