Khadijah Mohammed Al-Dahwah, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

010272327 Issued in VA

Practice address

324 Louisa Ave Ste 110
Virginia Beach, VA 23454-4669

Phone

(757) 668-4840

Fax

(757) 668-4838

NPI assigned

Mar 30, 2018

Last updated

Oct 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Pediatric Medicine

Education

Other, 2006

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Childrens Hospital of the Kings Daughters Inc

  • Children's Hospital
  • Norfolk, VA
  • NPI 1912919481
  NPD (past)

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1316443385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 LOUISA AVE STE 110",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234544669",
            "telephone_number": "757-668-4840",
            "fax_number": "757-668-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 LOUISA AVE STE 110",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234544669",
            "telephone_number": "757-668-4840",
            "fax_number": "757-668-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-DAHWAH",
        "first_name": "KHADIJAH",
        "middle_name": "MOHAMMED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-30",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301505150",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "010272327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316443385",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Air Station General LC (Air Med)
• Aj & T Independent Group Homes
• Akari Guide Home Care
• Muhanad Al Jassar, MD
• Zozan Al Saadi, M.D.
• Sarah Al-Saghir
• Shadha Hussein Hasan Al-Zzbairi, DDS
• Tracie Lynnett Alabre
• Alan D Nachman DDS PC
• Alan R. Kessler, DDS (A Division of Atlantic Dental Care)

• Pediatrics Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.

Verify at the official NPI Registry.