Organization Active NPI

Innerve8 Medical LLC

  • Interventional Pain Medicine Physician
  • Alexandria, VA
National Provider Identifier
1235844150
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
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

Updated by the provider on Jan 30, 2024

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

Authorized official

Name
Dr. Waleed M Abul-Hawa, DCNPI 1386711869
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)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20240116002620 DC Part B Supplier - Clinic/Group Practice 1658723622 Receives reassigned benefits from 3 practitioners
Practice locations: Alexandria, VA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.