Individual provider Active NPI

Raiqa Munis, M.D.

  • Internal Medicine Physician
  • Fairfax, VA
National Provider Identifier
1245240563
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101056011 Issued in VA
Practice address
10803 Main St Ste 800
Fairfax, VA 22030-4728
Phone
(703) 277-3346
Fax
(703) 277-3371
NPI assigned
Aug 9, 2006
Last updated
Aug 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101056011 VA Primary

Addresses

Primary practice location

10803 Main St Ste 800
Fairfax, VA 22030-4728

Mailing address

743 Miller Ave
Great Falls, VA 22066-2916
Phone (703) 395-7099

Other identifiers 2

IdentifierTypeStateIssuer
005866511MedicaidVA
110238972OtherMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20100831000570 DC Practitioner - Internal Medicine 6901851484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10803 Main St
Suite 800
Fairfax, VA 22030-4728
Phone (703) 277-3346

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Raiqa Munis MD PC Internal Medicine CurrentSince May 15, 2001 Accepting new patients

Locations

10803 Main St
Ste 800
Fairfax, VA 22030
Phone (703) 277-3346

3650 Joseph Siewick Dr
Ste 205B
Fairfax, VA 22033
Phone (703) 620-6221

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1245240563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 MILLER AVE",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220662916",
            "telephone_number": "703-395-7099",
            "fax_number": "703-277-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10803 MAIN ST STE 800",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304728",
            "telephone_number": "703-277-3346",
            "fax_number": "703-277-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNIS",
        "first_name": "RAIQA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101056011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005866511",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110238972",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.