Individual provider Active NPI

Samia Waseem, MD

  • Family Medicine Physician
  • Alexandria, VA
National Provider Identifier
1386660793
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101237874 Issued in VA
Practice address
1500 N Beauregard St
Alexandria, VA 22311-1723
Phone
(703) 370-0400
NPI assigned
Jul 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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 0101237874 VA Primary

Addresses

Primary practice location

1500 N Beauregard St
Alexandria, VA 22311-1723

Mailing address

3650 Joseph Siewick Dr Ste 205B
Fairfax, VA 22033-1712
Phone (703) 620-6221

Other identifiers 1

IdentifierTypeStateIssuer
010203953MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20051118000133 DC Practitioner - Family PracticePractitioner - Internal Medicine 1355360397 Reassigns benefits to 2 organizations
I20140707001257 VA Practitioner - Family Practice 1355360397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

8130 Boone Blvd
Suite 110
Vienna, VA 22182-2640
Phone (571) 982-6636

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Faculty Associates, Inc CurrentSince Dec 22, 2021 Accepting new patients
Medical Associates of Central Virginia, Inc. Past Accepting new patients

Locations

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

1500 N Beauregard St
Ste 100
Alexandria, VA 22311
Phone (703) 370-0400

4660 Kenmore Ave
Ste 600
Alexandria, VA 22304
Phone (703) 212-9190

Interoperability endpoints

  • Direct secure messaging: swaseem35890@gwmfa.direct-ci.com
  • Direct secure messaging: samia.waseem.2@8042.direct.athenahealth.com

Organizations & group practices 3

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1386660793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 JOSEPH SIEWICK DR STE 205B",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331712",
            "telephone_number": "703-620-6221",
            "fax_number": "703-620-6628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N BEAUREGARD ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111723",
            "telephone_number": "703-370-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASEEM",
        "first_name": "SAMIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101237874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010203953",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.