Organization Active NPI

Sofia Rizwan MD, PC

  • Psychiatry Physician
  • Springfield, VA
National Provider Identifier
1295269694
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101238675 Issued in VA
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

Updated by the provider on Apr 13, 2017

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

Authorized official

Name
Dr. Sofia Rizwan, MDNPI 1376692434
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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20170525000204 DC Part B Supplier - Clinic/Group Practice 2466729371 Receives reassigned benefits from 1 practitioner
Practice locations: Burke, VA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.