NPIMap

Individual provider Active NPI

Waleed Mushref, MD

  • Psychiatry Physician
  • Fairfax, VA
National Provider Identifier
1376501908
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101236548 Issued in VA
Practice address
8500 Executive Park Ave Ste 202
Fairfax, VA 22031-2253
Phone
(703) 852-7020
Fax
(703) 641-4693
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD420459 PA
Psychiatry Physician 2084P0800X 0101236548 VA Primary

Addresses

Primary practice location

8500 Executive Park Ave Ste 202
Fairfax, VA 22031-2253

Mailing address

PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699

Other practice location 1

620 Howard Avenue
Altoona Regional Health System Behavioral Health Servic
Altoona, PA 16601-4899
Phone (814) 889-2141

Other practice location 2

6910 Richmond Hwy Ste 110
Alexandria, VA 22306-1850
Phone (703) 660-8100

Other identifiers 1

IdentifierTypeStateIssuer
101117477MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wmushref203774@soc.inova.org Health Information Exchange (HIE) Inova Health Care Services

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160129000961 DC Practitioner - Psychiatry 0941274732 Reassigns benefits to 1 organization
I20160309003007 VA Practitioner - Psychiatry 0941274732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

19 Fort Evans Rd NE
Suite C
Leesburg, VA 20176-4487
Phone (703) 737-2110

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services Psychiatry CurrentSince Jan 4, 2016 Accepting new patients
Inova Health Care Services CurrentSince Jan 4, 2016 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Upmc Altoona Past Accepting new patients
Family Behavioral Resources, Inc. Psychiatry PastSince Oct 1, 2009 Accepting new patients
Upmc Altoona Past Accepting new patients

Locations

6910 Richmond Hwy
Ste 110
Alexandria, VA 22306
Phone (703) 660-8100

8505 Arlington Blvd
Ste 200
Fairfax, VA 22031
Phone (703) 698-8525

8500 Executive Park Ave
Ste 202
Fairfax, VA 22031
Phone (703) 852-7020

19 Fort Evans Rd NE
Ste C
Leesburg, VA 20176
Phone (703) 737-2110

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

Interoperability endpoints

  • Direct secure messaging: wmushref203774@soc.inova.org

Organizations & group practices 28

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 28

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1376501908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37174",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973174",
            "telephone_number": "571-423-5699",
            "fax_number": "571-423-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 EXECUTIVE PARK AVE STE 202",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312253",
            "telephone_number": "703-852-7020",
            "fax_number": "703-641-4693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "620 Howard Avenue",
            "address_2": "Altoona Regional Health System Behavioral Health Servic",
            "address_purpose": "LOCATION",
            "city": "Altoona",
            "state": "PA",
            "postal_code": "166014899",
            "country_code": "US",
            "telephone_number": "814-889-2141",
            "fax_number": "814-889-7999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6910 Richmond Hwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223061850",
            "country_code": "US",
            "telephone_number": "703-660-8100",
            "fax_number": "703-768-0103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUSHREF",
        "first_name": "WALEED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD420459",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101236548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101117477",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wmushref203774@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Health Care Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "19 Fort Evans Rd NE Ste C",
            "city": "Leesburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201764487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.