Active NPI
Waliah Abdul-Razaq, MD
- Psychiatry Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD600004224
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD600004224 | DC | MD | Psychiatry Physician |
| MD491802 | PA | MD | Psychiatry Physician |
| MD | MD | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Pennsylvania Physician Alliance LLC | Current | 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.
-
- Neurology Physician
- Clarion, PA
- NPI 1902440621
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.