Active NPI
Abdulkareem I Kraidy, MD
- Family Medicine Physician
- Springfield, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101236776
- Practice address
- 6801 Backlick Rd
Springfield, VA 22150-3071 - Phone
- (240) 417-6424
- NPI assigned
- Dec 1, 2006
- Last updated
- Jan 9, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101236776 | VA | Primary |
| General Practice Physician | 208D00000X | D0062159 | MD |
Addresses
Primary practice location
6801 Backlick Rd
Springfield, VA 22150-3071
Mailing address
6801 Backlick Rd Ste a
Springfield, VA 22150-3071
Phone (571) 575-1027
Other names 1
- Kareem I Kraidy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- College of Medicine and Surgery, 1986
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6801 Backlick Rd
Suite a
Springfield, VA 22150-3071
Phone (571) 481-2442
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0062159 | MD | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kraidy & Alkaffaf, LLC | Family Medicine | Current | Accepting new patients |
| Med-Ped Health Care LLC | Family Medicine | Current | Accepting new patients |
| Express Healthcare, LLC | Current | Accepting new patients | |
| Family Medcare, LLC | Past | Accepting new patients |
Locations
6201 Greenbelt Rd
Ste M16
Berwyn Heights, MD 20740
Phone (301) 441-4400
10716 Richmond Hwy
Ste 204
Lorton, VA 22079
10716 Richmond Hwy
Ste 240
Lorton, VA 22079
6801 Backlick Rd
Ste A
Springfield, VA 22150
Phone (703) 451-3300
Interoperability endpoints
- https://api.platform.athenahealth.com/19581/brand/1/csg/1/fhir/r4
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673222400000",
"number": "1326116229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6801 BACKLICK RD STE A",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221503071",
"telephone_number": "571-575-1027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6801 BACKLICK RD",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221503071",
"telephone_number": "240-417-6424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAIDY",
"first_name": "ABDULKAREEM",
"middle_name": "I",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2023-01-09",
"certification_date": "2023-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101236776",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MD",
"license": "D0062159",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAREEM",
"last_name": "KRAIDY",
"middle_name": "I",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
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 Jan 9, 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.