Active NPI
Innerve8 Medical LLC
- Interventional Pain Medicine Physician
- Alexandria, VA
National Provider Identifier
1235844150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- INNERVE8 MEDICAL LLC
- Practice address
- 2034 Eisenhower Ave Ste 100
Alexandria, VA 22314-5301 - Phone
- (703) 739-0500
- Fax
- (703) 912-0632
- NPI assigned
- Jan 16, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Waleed M Abul-Hawa, DC
- Title
- Owner
- Phone
- (703) 739-0500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
2034 Eisenhower Ave Ste 100
Alexandria, VA 22314-5301
Mailing address
2034 Eisenhower Ave Ste 100
Alexandria, VA 22314-5301
Phone (703) 739-0500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2034 Eisenhower Ave
Alexandria, VA 22314
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706572800000",
"number": "1235844150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2034 EISENHOWER AVE STE 100",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223145301",
"telephone_number": "703-739-0500",
"fax_number": "703-912-0632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2034 EISENHOWER AVE STE 100",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223145301",
"telephone_number": "703-739-0500",
"fax_number": "703-912-0632"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNERVE8 MEDICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-16",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A",
"authorized_official_last_name": "ABUL-HAWA",
"authorized_official_first_name": "WALEED",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-739-0500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.