Organization Active NPI

Family Med-Surg Clinic, LLC.

  • Internal Medicine Physician
  • Fairfax, VA
National Provider Identifier
1265584346
Registry record updated Dec 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
FAMILY MED-SURG CLINIC, LLC.
Practice address
10721 Main St
Suite 2100
Fairfax, VA 22030-6914
Phone
(703) 802-6700
Fax
(703) 802-6701
NPI assigned
Jan 17, 2007
Last updated
Dec 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2009

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

Authorized official

Name
Dr. Ayad A Alsaadi, M.D.NPI 1982627980
Title
Owner
Phone
(703) 802-6700

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
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

10721 Main St
Suite 2100
Fairfax, VA 22030-6914

Mailing address

PO Box 847
Fairfax, VA 22038-0847
Phone (703) 802-6700

Other identifiers 1

IdentifierTypeStateIssuer
010132371MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041118000624 DC Part B Supplier - Clinic/Group Practice 8224092267 Receives reassigned benefits from 1 practitioner
Practice locations: Fairfax, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D1034963Family Med-Surg Clinic10721 Main Street - Suite 2100, Fairfax, VA 22030Certificate of waiverDec 16, 2026

National Provider Directory

National Provider Directory

Locations

10721 Main St
Ste 2100
Fairfax, VA 22030
Phone (703) 802-6700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259712000000",
    "number": "1265584346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 847",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220380847",
            "telephone_number": "703-802-6700",
            "fax_number": "703-802-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10721 MAIN ST",
            "address_2": "SUITE 2100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306914",
            "telephone_number": "703-802-6700",
            "fax_number": "703-802-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MED-SURG CLINIC, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2009-12-02",
        "status": "A",
        "authorized_official_last_name": "ALSAADI",
        "authorized_official_first_name": "AYAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-802-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010132371",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.