Active NPI
Sofia Rizwan MD, PC
- Psychiatry Physician
- Springfield, VA
National Provider Identifier
1295269694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101238675
- Legal business name
- SOFIA RIZWAN MD, PC
- Practice address
- 8440 Old Keene Mill Rd
Springfield, VA 22152-2302 - Phone
- (703) 569-1300
- Fax
- (703) 569-1972
- NPI assigned
- Apr 12, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sofia Rizwan, MD
- Title
- Director
- Phone
- (571) 251-8930
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0101238675 | VA | Primary |
Addresses
Primary practice location
8440 Old Keene Mill Rd
Springfield, VA 22152-2302
Mailing address
9305 Castle Hill Rd
Springfield, VA 22153-3931
Phone (571) 251-8930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
9004 Fern Park Dr
#A
Burke, VA 22015
Phone (571) 459-2631
9004 Fern Park Dr
Burke, VA 22015
Phone (571) 459-2631
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491955200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1492041600000",
"number": "1295269694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9305 CASTLE HILL RD",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221533931",
"telephone_number": "571-251-8930",
"fax_number": "703-569-1972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8440 OLD KEENE MILL RD",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221522302",
"telephone_number": "703-569-1300",
"fax_number": "703-569-1972"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOFIA RIZWAN MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-12",
"last_updated": "2017-04-13",
"status": "A",
"authorized_official_last_name": "RIZWAN",
"authorized_official_first_name": "SOFIA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "571-251-8930",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101238675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.