Individual provider Active NPI

Kholood Altraifee Ahmed, MBBS

  • Geriatric Medicine (Internal Medicine) Physician
  • Ashburn, VA
National Provider Identifier
1255180709
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
0101286621 Issued in VA
Practice address
41816 Fenway Cir
Ashburn, VA 20148-8069
Phone
(347) 761-7200
NPI assigned
May 16, 2024
Last updated
May 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 4301517636 MI
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 0101286621 VA Primary

Addresses

Primary practice location

41816 Fenway Cir
Ashburn, VA 20148-8069

Mailing address

41816 Fenway Cir
Ashburn, VA 20148-8069
Phone (410) 870-9380

Other practice location 1

1000 Oakland Dr
Kalamazoo, MI 49008-1282
Phone (269) 337-4400

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20251016002277 VA Practitioner - Geriatric Medicine 0143764860 Reassigns benefits to 2 organizations
I20251120000486 DC Practitioner - Geriatric Medicine 0143764860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12627 Fantasia Dr
Herndon, VA 20170-2914

9722 Groffs Mill Dr
Owings Mills, MD 21117-6341

PO Box
Cincinnati, OH 45263

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301517636MIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Internal Medicine Inc CurrentSince Aug 20, 2025 Accepting new patients

Locations

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

3440 S Jefferson St
Falls Church, VA 22041
Phone (703) 578-7108

1575 Scott Dr
Farmville, VA 23901
Phone (434) 392-8806

621 Berry Hill Rd
South Boston, VA 24592
Phone (434) 206-3100

46531 Leesburg Pike
Sterling, VA 20164
Phone (703) 834-5800

Organizations & group practices 2

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 1

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": "1715817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1255180709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41816 FENWAY CIR",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201488069",
            "telephone_number": "410-870-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41816 FENWAY CIR",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201488069",
            "telephone_number": "347-761-7200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Oakland Dr",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490081282",
            "country_code": "US",
            "telephone_number": "269-337-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHMED",
        "first_name": "KHOLOOD",
        "middle_name": "ALTRAIFEE",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-16",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301517636",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "VA",
            "license": "0101286621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

Verify at the official NPI Registry.