Individual provider Active NPI

Ayatallah M. Khafagy, MB BCH MSC MPH

  • Obstetrics & Gynecology Physician
  • Fairfax, VA
National Provider Identifier
1356780928
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101266029 Issued in VA
Practice address
3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone
(703) 391-3600
NPI assigned
Jun 17, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X D86121 MD
Obstetrics & Gynecology Physician 207V00000X 256714 MA
Obstetrics & Gynecology Physician 207V00000X 0101266029 VA Primary

Addresses

Primary practice location

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709

Mailing address

7500 Iron Bar LN Ste 219
Gainesville, VA 20155-3614
Phone (703) 776-2745

Other practice location 1

3650 Joseph Siewick Dr Ste 203
Fairfax, VA 22033-1712
Phone (703) 776-2745

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address AYATALLAH.KHAFAGY@hca6.eclinicaldirectplus.com

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
I20190417002051 VA Practitioner - Obstetrics/Gynecology 3375849953 Reassigns benefits to 4 organizations
I20190709001274 DC Practitioner - Obstetrics/Gynecology 3375849953 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Physicians of Northern Virginia LLCGroup PAC ID 6709923915, 9 clinicians

Practice addresses (Care Compare)

24430 Stone Springs Blvd
Suite 300
Dulles, VA 20166-2267
Phone (703) 665-2430

Hospital & facility affiliations

  • Stonesprings Hospital Center Hospital, Dulles, VA, CCN 490145

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
256714MAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DHP of Virginia PC Obstetrics & Gynecology CurrentSince Mar 10, 2021 Accepting new patients
Inova Health Care Services CurrentSince Jan 1, 2020 Accepting new patients
Specialty Physicians of Northern Virginia, LLC CurrentSince Jul 5, 2021 Accepting new patients
Fairfax Loudoun OBGYN, Inc Obstetrics & Gynecology CurrentSince Jul 21, 2021 Accepting new patients
Privia Medical Group, LLC Obstetrics & Gynecology CurrentSince Mar 26, 2022 Accepting new patients
Inova Health Care Services Obstetrics & Gynecology Current Accepting new patients
Obhg Maryland PC Obstetrics & Gynecology CurrentSince Jan 7, 2023 Accepting new patients
Obhg Maryland PC Obstetrics & Gynecology CurrentSince Jan 7, 2023 Accepting new patients
Inova Health Care Services CurrentSince Jan 1, 2020 Accepting new patients
Privia Medical Group, LLC CurrentSince Mar 26, 2022 Accepting new patients

Locations

110 Hospital Rd
Ste 203
Prnc Frederck, MD 20678
Phone (410) 414-4740

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

11890 Healing Way
Silver Spring, MD 20904
Phone (240) 637-4000

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

3 E Main St
Berryville, VA 22611
Phone (540) 955-5051

24430 Stone Springs Blvd
Ste 550
Dulles, VA 20166
Phone (703) 726-1300

3650 Joseph Siewick Dr
Ste 203
Fairfax, VA 22033
Phone (703) 391-1500

3930 Pender Dr
Ste 60
Fairfax, VA 22030
Phone (571) 249-0717

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

7051 Heathcote Village Way
Ste 145
Gainesville, VA 20155
Phone (703) 665-2430

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

44055 Riverside Pkwy
Ste 234
Leesburg, VA 20176
Phone (703) 858-3020

8644 Sudley Rd
#220
Manassas, VA 20110

1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922

24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696

24430 Stone Springs Blvd
Ste 300
Sterling, VA 20166
Phone (703) 665-2430

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5652/brand/1/csg/1/fhir/r4

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1356780928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 IRON BAR LN STE 219",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553614",
            "telephone_number": "703-776-2745",
            "fax_number": "866-291-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 JOSEPH SIEWICK DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331709",
            "telephone_number": "703-391-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3650 Joseph Siewick Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220331712",
            "country_code": "US",
            "telephone_number": "703-776-2745",
            "fax_number": "866-291-4915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAFAGY",
        "first_name": "AYATALLAH",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MB BCH MSC MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2022-01-04",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D86121",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "256714",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101266029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AYATALLAH.KHAFAGY@hca6.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "3650 Joseph Siewick Dr Ste 203",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220331712",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.