Active NPI
Furhan Rashid Qureshi, MD
- Internal Medicine Physician
- Sterling, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101260305
- Practice address
- 21430 Cedar Dr Ste 214101
Sterling, VA 20164-8695 - Phone
- (703) 996-4377
- NPI assigned
- Aug 16, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME125457 | FL | |
| Internal Medicine Physician | 207R00000X | 0101260305 | VA | Primary |
| Hospitalist Physician | 208M00000X | MD466277 | PA | |
| Hospitalist Physician | 208M00000X | 26519 | WV | |
| Hospitalist Physician | 208M00000X | 01077558B | IN | |
| Internal Medicine Physician | 207R00000X | 54072 | KY | |
| Hospitalist Physician | 208M00000X | 103779 | MT | |
| Internal Medicine Physician | 207R00000X | MD466277 | PA | |
| Internal Medicine Physician | 207R00000X | 076663 | GA |
Addresses
Primary practice location
21430 Cedar Dr Ste 214101
Sterling, VA 20164-8695
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698
Other practice location 1
1530 Lone Oak Rd
Paducah, KY 42003-7901
Phone (271) 444-2444
Other practice location 2
1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-1121
Other practice location 3
1900 Electric Rd
Salem, VA 24153-7494
Phone (540) 776-4000
Other practice location 4
1101 26th St S
Great Falls, MT 59405-5161
Phone (406) 455-5000
Other practice location 5
1420 Tusculum Blvd
Greeneville, TN 37745-4279
Phone (423) 787-5000
Other practice location 6
112 N 7th St
Chambersburg, PA 17201-1720
Phone (717) 217-4300
Other practice location 7
501 E Main St
Waynesboro, PA 17268-2353
Phone (717) 765-4000
Other practice location 8
603 N Progress Ave
Siloam Springs, AR 72761-4352
Phone (479) 524-4141
Other practice location 9
100 Sentara Cir Rm 2C
Williamsburg, VA 23188-5713
Phone (757) 984-7217
Other practice location 10
21430 Cedar Dr Ste 101
Sterling, VA 20164-8695
Phone (703) 996-4377
Other practice location 11
3200 MacCorkle Ave SE
Suite B16
Charleston, WV 25304-1227
Phone (304) 388-5848
Other practice location 12
4455 Edison Lakes Pkwy
Mishawaka, IN 46545-1442
Phone (574) 231-6134
Other practice location 13
1 ARH Lane
Low Moor, VA 24457
Phone (540) 862-6011
Other practice location 14
2400 Lee Hwy N
Pulaski, VA 24301-2326
Phone (540) 994-8100
Other practice location 15
2010 Health Campus Dr
Rockingham, VA 22801-8679
Phone (540) 689-1110
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103592721 | Medicaid | PA | |
| MM935 | Other | FL | FL MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, VA, DC, GA, AL, TN, NC, ME, WA, SC, MD, NM, KY, NY, MT, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 17
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150828001225 | WV | Practitioner - Internal Medicine | 7113233610 | Reassigns benefits to 2 organizations |
| I20160805002349 | VA | Practitioner - Internal Medicine | 7113233610 | Reassigns benefits to 14 organizations |
| I20160818000892 | DC | Practitioner - Internal Medicine | 7113233610 | Reassigns benefits to 3 organizations |
| I20161003000499 | GA | Practitioner - Internal Medicine | 7113233610 | Reassigns benefits to 5 organizations |
| I20161222000991 | AL | Practitioner - Internal Medicine | 7113233610 | Reassigns benefits to 1 organization |
| I20180605001974 | TN | Practitioner - Hospitalist | 7113233610 | Reassigns benefits to 4 organizations |
| I20200529001968 | NC | Practitioner - Internal Medicine | 7113233610 | Reassigns benefits to 1 organization |
| I20210825003397 | ME | Practitioner - Internal Medicine | 7113233610 | Reassigns benefits to 1 organization |
| I20210921003930 | WA | Practitioner - Internal Medicine | 7113233610 | Reassigns benefits to 2 organizations |
| I20211008002522 | SC | Practitioner - Internal Medicine | 7113233610 | Reassigns benefits to 1 organization |
| I20221109001677 | MD | Practitioner - Hospitalist | 7113233610 | Reassigns benefits to 5 organizations |
| I20240426002318 | NM | Practitioner - Internal Medicine | 7113233610 | Reassigns benefits to 1 organization |
| I20240802003005 | KY | Practitioner - Emergency Medicine | 7113233610 | Reassigns benefits to 2 organizations |
| I20240913003093 | NY | Practitioner - Hospitalist | 7113233610 | Reassigns benefits to 2 organizations |
| I20241122003942 | NY | Practitioner - Internal Medicine | 7113233610 | Reassigns benefits to 1 organization |
| I20260402003853 | MT | Practitioner - Hospitalist | 7113233610 | Reassigns benefits to 1 organization |
| I20260518002321 | CA | Practitioner - Internal Medicine | 7113233610 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Benefis Hospitals IncBlue Ridge Medical Management CorporationSoutheastern Physician Services PCSoutheastern Intensivist Services PCClark Alliance Services IncUpstate Ny Doctor of Medicine PLLCRelymd Virtual Health Ga LLCMdics at Civista LLCAdfinitas Health at Upper Chesapeake LLC
Practice addresses (Care Compare)
1101 26TH St S
Great Falls, MT 59405-5161
Phone (406) 455-5000
1420 Tusculum Blvd
Greeneville, TN 37745-4279
Phone (423) 787-5537
1500 W Poplar Ave
Collierville, TN 38017-0601
Phone (901) 861-9000
1602 Skipwith Rd
Richmond, VA 23229-5205
Phone (804) 289-4500
245 Medical Park Dr
Marion, VA 24354-1100
Phone (276) 378-1140
250 Josephs Dr
Yorktown, VA 23693-3405
Phone (757) 276-5020
2501 Parkers LN
FL 4
Alexandria, VA 22306-3209
Phone (757) 276-5020
427 Guy Park Ave
Amsterdam, NY 12010-1064
Phone (518) 842-1900
43355 Stadium Ter
Ashburn, VA 20148-7587
Phone (703) 835-0095
5 Garrett Ave
La Plata, MD 20646-5960
Phone (443) 949-0814
500 Upper Chesapeake Dr
Bel Air, MD 21014-4324
Phone (443) 643-1000
Hospital & facility affiliations
- Benefis Hospitals Inc
- University of MD Charles Regional Medical Center
- Umd Upper Chesapeake Medical Center
- St Marys Healthcare
- Greeneville Community Hospital
- Inova Specialty Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 076663 | GA | MD | Internal Medicine Physician |
| MD466277 | PA | MD | Internal Medicine Physician |
| 0101260305 | VA | MD | Internal Medicine Physician |
| 01077558B | IN | MD | Hospitalist Physician |
| 103779 | MT | MD | Hospitalist Physician |
| 55158 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles (60 of 72)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sentara Medical Group | Internal Medicine | Current | Accepting new patients |
| Georgia Hospitalists Group, LLC | Hospitalist | Current | Accepting new patients |
| Emergency Medicine Associates P.a., P.C. | Emergency Medicine | Current | Accepting new patients |
| South Sound Inpatient Physicians PLLC | Internal Medicine | Current | Accepting new patients |
| Wellmont Medical Associates, Inc. | Internal Medicine | Current | Accepting new patients |
| Georgia Hospitalists Group, LLC | Hospitalist | Current | Accepting new patients |
| South Sound Inpatient Physicians PLLC | Internal Medicine | Current | Accepting new patients |
| Mdics at Civista LLC | Hospitalist | Current | Accepting new patients |
| Oak Mountain Group Services, LLC | Hospitalist | Current | Accepting new patients |
| Wajeeh Sana Physician PC | Emergency Medicine | Current | Accepting new patients |
| Shore-Bayy Hospitalists Associates | Hospitalist | Current | Accepting new patients |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Cogent Healthcare of Washington, PC | Internal Medicine | Current | Accepting new patients |
| Inova Health Care Services | Current | Accepting new patients | |
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| Relymd Virtual Health TX, PA | Emergency Medicine | Current | Accepting new patients |
| Clark Alliance Services Inc | Internal Medicine | Current | Accepting new patients |
| Southeastern Physician Services PC | Internal Medicine | Current | Accepting new patients |
| Hospital Medicine Services of Maine LLC | Hospitalist | Current | Accepting new patients |
| Aspirus Iron River Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Upstate Ny Doctor of Medicine PLLC | Hospitalist | Current | Accepting new patients |
| Wellmont Medical Associates Inc | Internal Medicine | Current | Accepting new patients |
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Aspirus Ironwood Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Relymd Virtual Health Ca, PC | Emergency Medicine | Current | Accepting new patients |
| Nes Arizona Inc | Emergency Medicine | Current | Accepting new patients |
| Aspirus Ironwood Hospital & Clinics, Inc. | Internal Medicine | Current | Accepting new patients |
| Privia Medical Group, LLC | Internal Medicine | Current | Accepting new patients |
| Privia Medical Group of Georgia LLC | Internal Medicine | Current | Accepting new patients |
| RMH Medical Group LLC | Current | Accepting new patients | |
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Wellmont Health System | Current | Accepting new patients | |
| Nicholas H. Noyes Memorial Hospital | Current | Accepting new patients | |
| Aspirus Iron River Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Mary Washington Healthcare Providers LLC | Hospitalist | Current | Accepting new patients |
| Adfinitas Health at Upper Chesapeake, LLC | Hospitalist | Current | Accepting new patients |
| Wellmont Medical Associates, Inc. | Current | Accepting new patients | |
| Southeastern Intensivist Services PC | Internal Medicine | Current | Accepting new patients |
| Houston Hospitalist Group LLC | Hospitalist | Current | Accepting new patients |
| Aspirus Ironwood Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Houston Hospitalist Group LLC | Hospitalist | Current | Accepting new patients |
| Benning Hospitalist Services, LLC | Hospitalist | Current | Accepting new patients |
| Relymd Virtual Health Regional, PC | Emergency Medicine | Current | Accepting new patients |
| Northwest Hospital Medicine Physicians LLC | Internal Medicine | Current | Accepting new patients |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| RMH Medical Group LLC | Current | Accepting new patients | |
| Blue Ridge Medical Management Corporation | Current | Accepting new patients | |
| Muscogee Hospitalist Services, LLC | Hospitalist | Current | Accepting new patients |
| South Central Physicians PLLC | Hospitalist | Current | Accepting new patients |
| Emergency Medicine Associates, PA | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Associates, P.a.,P.C. | Internal Medicine | Current | Accepting new patients |
| Privia Medical Group of Georgia LLC | Internal Medicine | Current | Accepting new patients |
| Inova Health Care Services | Internal Medicine | Current | Accepting new patients |
| Adfinitas Health at Upper Chesapeake Aberdeen LLC | Hospitalist | Current | Accepting new patients |
| Relymd Virtual Health Ga, LLC | Emergency Medicine | Current | Accepting new patients |
| Inova Health Care Services | Current | Accepting new patients | |
| Emergency Medicine Associates P.a., P.C. | Internal Medicine | Current | Accepting new patients |
Locations (25 of 77)
800 Montclair Rd
Birmingham, AL 35213
Phone (205) 592-1000
3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000
3070 Healthy Way
Vestavia, AL 35243
Phone (205) 977-7216
13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784
100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100
710 Center St
Columbus, GA 31901
Phone (706) 571-1000
101 Yorktown Dr
Ste 100
Fayetteville, GA 30214
Phone (770) 460-4285
601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721
350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367
400 Charter Blvd
Macon, GA 31210
Phone (478) 757-6000
5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468
1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155
29980 Network Pl
Chicago, IL 60673
4604 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-5000
1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444
660 McHenry Rd
Aberdeen, MD 21001
Phone (443) 643-1500
500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000
100 Brown St
Chestertown, MD 21620
Phone (410) 778-3300
219 S Washington St
Easton, MD 21601
5 Garrett Ave
La Plata, MD 20646
Phone (301) 609-4000
9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800
100 Hospital Rd
Prnc Frederck, MD 20678
Phone (410) 414-4791
57 Water St
Blue Hill, ME 04614
Phone (207) 374-3400
447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981
200 Kennedy Memorial Dr
Waterville, ME 04901
Phone (207) 861-3000
Interoperability endpoints
- fqureshi225132@wellspan.direct-ci.com
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- qfurhan498183@direct.urmc.rochester.edu
- fqureshi37828@direct.wvuhsdirect.com
- fqureshi971507@direct.umm.edu
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- fqureshi408268@direct.ecuhealth.com
- fqureshi314675@balladhealth.medalliesdirect.net
Organizations & group practices 89
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Marion, VA
- NPI 1326159567
VA
-
- Internal Medicine Physician
- Alexandria, VA
- NPI 1952892028
DC, Internal Medicine, VA
-
- Hospitalist Physician
- Bel Air, MD
- NPI 1164134037
Hospitalist, MD
-
- Urgent Care Clinic/Center
- Elizabethton, TN
- NPI 1144380833
TN
-
- Emergency Medicine Physician
- Atlanta, GA
- NPI 1386414720
Emergency Medicine, VA
-
- Hospitalist Physician
- West Memphis, AR
- NPI 1912942665
Internal Medicine, VA
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
Internal Medicine, TN
-
- Hospitalist Physician
- Amsterdam, NY
- NPI 1356171490
Hospitalist, NY
-
- Emergency Medicine Physician
- Falls Church, VA
- NPI 1134117393
Emergency Medicine, MD
-
- Internal Medicine Physician
- Dulles, VA
- NPI 1376917070
Internal Medicine, VA
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Long Term Care Hospital
- Alexandria, VA
- NPI 1235845256
Long-term care hospital
-
- General Acute Care Hospital
- Bel Air, MD
- NPI 1598761355
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1306194667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083870",
"telephone_number": "800-893-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21430 CEDAR DR STE 214101",
"city": "STERLING",
"state": "VA",
"postal_code": "201648695",
"telephone_number": "703-996-4377"
}
],
"practiceLocations": [
{
"address_1": "1530 Lone Oak Rd",
"address_purpose": "LOCATION",
"city": "Paducah",
"state": "KY",
"postal_code": "420037901",
"country_code": "US",
"telephone_number": "271-444-2444",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Medical Park Blvd",
"address_purpose": "LOCATION",
"city": "Bristol",
"state": "TN",
"postal_code": "376207430",
"country_code": "US",
"telephone_number": "423-844-1121",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1900 Electric Rd",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "VA",
"postal_code": "241537494",
"country_code": "US",
"telephone_number": "540-776-4000",
"fax_number": "540-776-4196",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1101 26th St S",
"address_purpose": "LOCATION",
"city": "Great Falls",
"state": "MT",
"postal_code": "594055161",
"country_code": "US",
"telephone_number": "406-455-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1420 Tusculum Blvd",
"address_purpose": "LOCATION",
"city": "Greeneville",
"state": "TN",
"postal_code": "377454279",
"country_code": "US",
"telephone_number": "423-787-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "112 N 7th St",
"address_purpose": "LOCATION",
"city": "Chambersburg",
"state": "PA",
"postal_code": "172011720",
"country_code": "US",
"telephone_number": "717-217-4300",
"fax_number": "717-217-4217",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "501 E Main St",
"address_purpose": "LOCATION",
"city": "Waynesboro",
"state": "PA",
"postal_code": "172682353",
"country_code": "US",
"telephone_number": "717-765-4000",
"fax_number": "717-765-3669",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "603 N Progress Ave",
"address_purpose": "LOCATION",
"city": "Siloam Springs",
"state": "AR",
"postal_code": "727614352",
"country_code": "US",
"telephone_number": "479-524-4141",
"fax_number": "479-549-2577",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Sentara Cir Rm 2C",
"address_purpose": "LOCATION",
"city": "Williamsburg",
"state": "VA",
"postal_code": "231885713",
"country_code": "US",
"telephone_number": "757-984-7217",
"fax_number": "757-984-7210",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "21430 Cedar Dr Ste 101",
"address_purpose": "LOCATION",
"city": "Sterling",
"state": "VA",
"postal_code": "201648695",
"country_code": "US",
"telephone_number": "703-996-4377",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3200 MacCorkle Ave SE",
"address_2": "Suite B16",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "WV",
"postal_code": "253041227",
"country_code": "US",
"telephone_number": "304-388-5848",
"fax_number": "304-388-9654",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4455 Edison Lakes Pkwy",
"address_purpose": "LOCATION",
"city": "Mishawaka",
"state": "IN",
"postal_code": "465451442",
"country_code": "US",
"telephone_number": "574-231-6134",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 ARH Lane",
"address_purpose": "LOCATION",
"city": "Low Moor",
"state": "VA",
"postal_code": "24457",
"country_code": "US",
"telephone_number": "540-862-6011",
"fax_number": "540-862-6472",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2400 Lee Hwy N",
"address_purpose": "LOCATION",
"city": "Pulaski",
"state": "VA",
"postal_code": "243012326",
"country_code": "US",
"telephone_number": "540-994-8100",
"fax_number": "540-994-8494",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2010 Health Campus Dr",
"address_purpose": "LOCATION",
"city": "Rockingham",
"state": "VA",
"postal_code": "228018679",
"country_code": "US",
"telephone_number": "540-689-1110",
"fax_number": "540-689-1119",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QURESHI",
"first_name": "FURHAN",
"middle_name": "RASHID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-16",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME125457",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101260305",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "PA",
"license": "MD466277",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WV",
"license": "26519",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IN",
"license": "01077558B",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "54072",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MT",
"license": "103779",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD466277",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "076663",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103592721",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL MEDICARE",
"identifier": "MM935",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sterling, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.