Khadija Macaully

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024186062 Issued in VA

Practice address

12018 Sunrise Valley Dr Ste 100
Reston, VA 20191-3444

Phone

(571) 262-2261

NPI assigned

Jan 12, 2023

Last updated

Aug 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Compassus Op of Virginia LLCGroup PAC ID 7012284664, 3 clinicians

National Capital Treatment and RecoveryGroup PAC ID 2567807647, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Compassus Op of Virginia LLC

  dba Compassus Palliative Care Consultation Program - Reston

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Chantilly, VA
  • NPI 1689119877

  DC

  Medicare reassignment Care Compare group NPD
• National Capital Treatment and Recovery

  • Substance Abuse Rehabilitation Facility
  • Arlington, VA
  • NPI 1558415968

  DC

  Medicare reassignment Care Compare group NPD
• Passionate Nurse Practitioner Services LLC

  • Nurse Practitioner
  • Richmond, VA
  • NPI 1750234670

  DC, Registered Nurse

  Medicare reassignment NPD Authorized official
• Ardent Healthcare Services LLC

  • In Home Supportive Care Agency
  • Stafford, VA
  • NPI 1144902453
  NPD Authorized official
• National Capital Treatment and Recovery-Maryland

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Baltimore, MD
  • NPI 1528740628

  Family

  NPD

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1265146229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 MARIANNE PL",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541621",
            "telephone_number": "571-275-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12018 SUNRISE VALLEY DR STE 100",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913444",
            "telephone_number": "571-262-2261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12018 Sunrise Valley Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201913444",
            "country_code": "US",
            "telephone_number": "571-262-2261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACAULLY",
        "first_name": "KHADIJA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-12",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001220128",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024186062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey S. Luy, M.D.
• Lauren C Lynch
• Lynne J. Ganz, Otr/L, Inc.
• M Karim Ali MD Facs PC
• Maarij Inc (Sunnyview Neurology Practice)
• Allison Maciorowski Stellatos, LPC
• Larry C Mack-Wilson, P.A.
• Shakia Mackey, LPC
• Leslie Bones Maclay, BSPHARM
• Seyedeh Maryam Madani

• Family Nurse Practitioner in Reston, VA
• Providers in Reston, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.