Individual provider Active NPI

Shadi Soufi, M.D.

  • Internal Medicine Physician
  • Washington, DC
National Provider Identifier
1326250705
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD036623 Issued in DC
Practice address
1150 Varnum St NE
Washington, DC 20017-2149
Phone
(202) 269-7000
NPI assigned
May 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0086027 MD
Internal Medicine Physician 207R00000X MD036623 DC Primary

Addresses

Primary practice location

1150 Varnum St NE
Washington, DC 20017-2149

Mailing address

11389 Little Patuxent Pkwy
Apt# 936
Columbia, MD 21044-3974
Phone (301) 938-4143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20071226000069 DC Practitioner - Internal Medicine 5991895203 Reassigns benefits to 5 organizations
I20230629001530 MD Practitioner - Internal Medicine 5991895203 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
M Medical Group, Inc.Group PAC ID 7719278597, 104 clinicians
Providence Health Services IncGroup PAC ID 4385541622, 17 clinicians

Practice addresses (Care Compare)

1051 Brightseat Rd
Hyattsville, MD 20785-3738
Phone (240) 487-4400

1150 Varnum St NE
Washington, DC 20017-2104
Phone (202) 854-4069

22 S Athol Ave
Futurecare Irvington
Baltimore, MD 21229-3405
Phone (410) 947-3052

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Washington, DC, CCN 097024
  • Accentcare Hospice & Palliative Care of Maryland Hospice, Columbia, MD, CCN 211507
  • Frederick Health Hospice Hospice, Frederick, MD, CCN 211516
  • Medstar Washington Hospital Center Hospital, Washington, DC, CCN 090011
  • Howard University Hospital Corp Hospital, Washington, DC, CCN 090003
  • George Washington Univ Hospital Hospital, Washington, DC, CCN 090001
  • Shady Grove Nursing and Rehabilitation Center Nursing home, Rockville, MD, CCN 215164
  • Potomac Valley Rehabilitation and Healthcare Nursing home, Rockville, MD, CCN 215026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD036623DCMDInternal Medicine Physician
D0086027MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health Services Inc Internal Medicine CurrentSince Jul 1, 2007 Accepting new patients
M Medical Group, Inc. Internal Medicine CurrentSince May 25, 2023 Accepting new patients
Genesis Eldercare Physician Services LLC Internal Medicine CurrentSince Mar 30, 2024 Accepting new patients
Genesis Eldercare Physician Services LLC CurrentSince Mar 30, 2024 Accepting new patients
Genesis Eldercare Physician Services LLC Internal Medicine CurrentSince Mar 30, 2024 Accepting new patients
Alignmed Partners, PC CurrentSince Mar 30, 2024 Accepting new patients
M Medical Group, Inc. Internal Medicine Current Accepting new patients
M Medical Group, Inc. CurrentSince May 25, 2023 Accepting new patients
Alignmed Medical Group, PC CurrentSince Sep 11, 2024 Accepting new patients
Providence Health Services, Inc CurrentSince Jul 1, 2007 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Shady Grove SNF LLC Past Accepting new patients
Providence Health Services, Inc Past Accepting new patients
Potomac Valley Operator LLC Past Accepting new patients

Locations

1160 Varnum St NE
Ste 312
Washington, DC 20017
Phone (202) 526-7031

1150 Varnum St NE
Washington, DC 20017
Phone (202) 269-7000

128 M St NW
Washington, DC 20001
Phone (202) 682-3840

1160 Varnum St NE
#3
Washington, DC 20017
Phone (202) 854-4900

1150 Varnum St NE
Ste 202
Washington, DC 20017

1150 Varnum St NE
#102
Washington, DC 20017

2700 N Charles St
Baltimore, MD 21218
Phone (410) 554-6300

3330 Wilkens Ave
Baltimore, MD 21229
Phone (410) 525-1544

22 S Athol Ave
Baltimore, MD 21229
Phone (410) 566-5015

9106 Pine View Ln
Clinton, MD 20735
Phone (301) 856-2930

7520 Surratts Rd
Clinton, MD 20735
Phone (301) 856-1600

1 Price Dr
Elkton, MD 21921
Phone (410) 398-6474

347 Ballenger Center Dr
Frederick, MD 21703
Phone (301) 633-5181

1051 Brightseat Rd
Landover, MD 20785
Phone (240) 487-4400

1801 Wentworth Rd
Parkville, MD 21234
Phone (410) 661-5717

9200 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 390-2600

310 Genesis Way
Ste 600
Severna Park, MD 21146
Phone (410) 544-4220

2101 Fairland Rd
Silver Spring, MD 20904
Phone (301) 384-6161

3227 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 871-2000

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1326250705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11389 LITTLE PATUXENT PKWY",
            "address_2": "APT# 936",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210443974",
            "telephone_number": "301-938-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 VARNUM ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172149",
            "telephone_number": "202-269-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUFI",
        "first_name": "SHADI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-05",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0086027",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD036623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.