Individual provider Active NPI

MHD Mounaf Alsamman, MD

  • Family Medicine Physician
  • Ashburn, VA
National Provider Identifier
1376722710
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101268432 Issued in VA
Practice address
44335 Premier PLZ Ste 220
Ashburn, VA 20147-5052
Phone
(763) 273-7643
NPI assigned
Nov 2, 2007
Last updated
Mar 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101268432 VA Primary

Addresses

Primary practice location

44335 Premier PLZ Ste 220
Ashburn, VA 20147-5052

Mailing address

PO Box 37189
Baltimore, MD 21297-3189
Phone (714) 235-6995

Other practice location 1

9715 Liberia Ave
Manassas, VA 20110-5837
Phone (571) 229-1797

Other practice location 2

9300 Noble Pkwy N
Brooklyn Park, MN 55443-5500
Phone (763) 236-5300

Other practice location 3

24801 Pinebrook Rd Ste 202
Chantilly, VA 20152-4113
Phone (703) 722-2510

Other names 1

  • Mounaf Alsamman Professional name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address malsamman676927@soc.inova.org Health Information Exchange (HIE) Inova Physician Partners, LLC
Direct Messaging Address malsamman186431@excellian.direct.allina.com Direct
Direct Messaging Address VAExchange@patientfirstclinics.com Health Information Exchange (HIE)

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
I20200623000327 VA Practitioner - Family Practice 9335226315 Reassigns benefits to 3 organizations
I20250314000850 DC Practitioner - Family Practice 9335226315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

44335 Premier PLZ
Suite 220
Ashburn, VA 20147-5052
Phone (763) 273-7643

6311 Richmond Hwy
Alexandria, VA 22306-6410
Phone (703) 647-6087

9715 Liberia Ave
Manassas, VA 20110-5837
Phone (571) 229-1797

Merit-based Incentive Payment System (MIPS)

Final score
93.98 of 100Reported as apm
Quality
87.97
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101268432VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Physician Partners, LLC Family Medicine CurrentSince Jun 1, 2020 Accepting new patients
Patient First Richmond Medical Group PLLC Family Medicine CurrentSince Mar 3, 2025 Accepting new patients
Honesty 1St Family Medicine, LLC Family Medicine CurrentSince Mar 11, 2025 Accepting new patients
Patient First Richmond Medical Group PLLC Family Medicine CurrentSince Mar 3, 2025 Accepting new patients
Honesty 1St Family Medicine LLC Family Medicine CurrentSince Feb 1, 2025 Accepting new patients
Fairview Clinics Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Fairview Health Services Past Accepting new patients
Inova Physician Partners, Inc. - Specialists PastSince Jun 21, 2020 Accepting new patients
Washita Emergency Physicians LLC Past Accepting new patients

Locations

6311 Richmond Hwy
Alexandria, VA 22306
Phone (703) 647-6087

44335 Premier Plz
Ste 220
Ashburn, VA 20147
Phone (763) 273-7643

24801 Pinebrook Rd
Ste 202
Chantilly, VA 20152
Phone (703) 722-2510

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

601 Potomac Station Dr NE
Leesburg, VA 20176
Phone (703) 840-1396

9715 Liberia Ave
Manassas, VA 20110
Phone (571) 229-1797

740 E Main St
Purcellville, VA 20132
Phone (540) 338-4995

Interoperability endpoints

  • Direct secure messaging: malsamman186431@excellian.direct.allina.com
  • Direct secure messaging: malsamman676927@soc.inova.org
  • Direct secure messaging: mhd.alsamman.1@27404.direct.athenahealth.com
  • Direct secure messaging: vaexchange@patientfirstclinics.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1376722710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37189",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973189",
            "telephone_number": "714-235-6995",
            "fax_number": "714-423-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44335 PREMIER PLZ STE 220",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475052",
            "telephone_number": "763-273-7643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9715 Liberia Ave",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201105837",
            "country_code": "US",
            "telephone_number": "571-229-1797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9300 Noble Pkwy N",
            "address_purpose": "LOCATION",
            "city": "Brooklyn Park",
            "state": "MN",
            "postal_code": "554435500",
            "country_code": "US",
            "telephone_number": "763-236-5300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24801 Pinebrook Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Chantilly",
            "state": "VA",
            "postal_code": "201524113",
            "country_code": "US",
            "telephone_number": "703-722-2510",
            "fax_number": "703-722-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALSAMMAN",
        "first_name": "MHD",
        "middle_name": "MOUNAF",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-02",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101268432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "malsamman676927@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Physician Partners, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "24801 Pinebrook Rd Ste 202",
            "city": "Chantilly",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201524113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "malsamman186431@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "9300 Noble Pkwy N",
            "city": "Brooklyn Park",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554435500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VAExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "9715 Liberia Ave",
            "city": "Manassas",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201105837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MOUNAF",
            "last_name": "ALSAMMAN",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Ashburn, VA

Sources for this page

Verify at the official NPI Registry.