Individual provider Active NPI

Abdul Malike, DNP, FNP-BC

  • Family Nurse Practitioner
  • Lorton, VA
National Provider Identifier
1245839497
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024180291 Issued in VA
Practice address
8010 George Fox PL
Lorton, VA 22079-2347
Phone
(703) 819-4313
NPI assigned
Oct 20, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024180291 VA Primary

Addresses

Primary practice location

8010 George Fox PL
Lorton, VA 22079-2347

Mailing address

8010 George Fox PL
Lorton, VA 22079-2347
Phone (703) 819-4313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201109003127 VA Practitioner - Nurse Practitioner 3779993498 Reassigns benefits to 1 organization
I20240809002657 DC Practitioner - Nurse Practitioner 3779993498 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
National Capital Treatment and RecoveryGroup PAC ID 2567807647, 12 clinicians

Practice addresses (Care Compare)

521 N Quincy St
Arlington, VA 22203-2136
Phone 70384107033005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024180291VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
National Capital Treatment and Recovery-Maryland Family CurrentSince Jun 30, 2024 Accepting new patients
Carelon Medical Partners, PC CurrentSince Nov 9, 2020 Accepting new patients
Passionate Nurse Practitioner Services LLC Family CurrentSince Mar 25, 2026 Accepting new patients
National Capital Treatment and Recovery CurrentSince Jun 30, 2024 Accepting new patients

Locations

12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800

333 Commerce St
Ste 700
Nashville, TN 37201
Phone (615) 627-2293

521 N Quincy St
Arlington, VA 22203

200 N Glebe Rd
Ste 104
Arlington, VA 22203

919 E Main St
Ste 1000
Richmond, VA 23219
Phone (804) 729-6904

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1245839497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8010 GEORGE FOX PL",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220792347",
            "telephone_number": "703-819-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8010 GEORGE FOX PL",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "220792347",
            "telephone_number": "703-819-4313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIKE",
        "first_name": "ABDUL",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024180291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorton, VA

Sources for this page

Verify at the official NPI Registry.