Individual provider Active NPI

Mustafa Ahmed Abbasi, MD

  • Internal Medicine Physician
  • Alexandria, VA
National Provider Identifier
1316019912
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101054694 Issued in VA
Practice address
4810 Beauregard St
Suite 303
Alexandria, VA 22312-1709
Phone
(703) 750-0108
Fax
(703) 750-0230
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101054694 VA Primary

Addresses

Primary practice location

4810 Beauregard St
Suite 303
Alexandria, VA 22312-1709

Mailing address

4810 Beauregard St
Suite 303
Alexandria, VA 22312-1709
Phone (703) 750-0108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190411001827 VA Practitioner - Internal Medicine 9830413756 Reassigns benefits to 1 organization
I20230930000585 DC Practitioner - Internal Medicine 9830413756 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101054694VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vohra Wound Physicians of FL, LLC CurrentSince Aug 1, 2023 Accepting new patients
Vohra Wound Physicians of FL, LLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

100 M St SE
Ste 600
Washington, DC 20003
Phone (202) 574-5700

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

1785 S Hayes St
Arlington, VA 22202
Phone (703) 920-0980

3900 Westerre Pkwy
Richmond, VA 23233
Phone (703) 491-6167

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1316019912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 BEAUREGARD ST",
            "address_2": "SUITE 303",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223121709",
            "telephone_number": "703-750-0108",
            "fax_number": "703-750-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 BEAUREGARD ST",
            "address_2": "SUITE 303",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223121709",
            "telephone_number": "703-750-0108",
            "fax_number": "703-750-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBASI",
        "first_name": "MUSTAFA",
        "middle_name": "AHMED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101054694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.