Individual provider Active NPI

Waleed Mahmoud Abul-Hawa, DC

  • Rehabilitation Chiropractor
  • Alexandria, VA
National Provider Identifier
1386711869
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
0104001959 Issued in VA
Practice address
2034 Eisenhower Ave Ste 100
Alexandria, VA 22314-5301
Phone
(703) 739-0500
Fax
(866) 545-1147
NPI assigned
Nov 29, 2006
Last updated
Oct 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 0104001959 VA Primary

Addresses

Primary practice location

2034 Eisenhower Ave Ste 100
Alexandria, VA 22314-5301

Mailing address

2034 Eisenhower Ave Ste 100
Alexandria, VA 22314-5301
Phone (703) 739-0500

Other identifiers 2

IdentifierTypeStateIssuer
F0650001OtherVABCBS PROVIDER NUMBER
541901737OtherVATAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050224000642 DC Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 1951354471 Reassigns benefits to 1 organization
Practice locations: Alexandria, VA

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innerve8 Medical LLCGroup PAC ID 1658723622, 2 clinicians

Practice addresses (Care Compare)

2034 Eisenhower Ave
Alexandria, VA 22314-5301
Phone (703) 739-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Innerve8 Medical LLC CurrentSince Dec 3, 2023 Accepting new patients
Riverside Integrated Health Current Accepting new patients
Riverside Chiropractic LLC Rehabilitation PastSince Jan 1, 1990 Accepting new patients
Cornerstone Chiropractic LLC PastSince Jul 31, 2012 Accepting new patients

Locations

2034 Eisenhower Ave
Alexandria, VA 22314

2034 Eisenhower Ave
Ste 100
Alexandria, VA 22314
Phone (703) 739-0500

Organizations & group practices 4

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1386711869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 EISENHOWER AVE STE 100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223145301",
            "telephone_number": "703-739-0500",
            "fax_number": "866-545-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 EISENHOWER AVE STE 100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223145301",
            "telephone_number": "703-739-0500",
            "fax_number": "866-545-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUL-HAWA",
        "first_name": "WALEED",
        "middle_name": "MAHMOUD",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "VA",
            "license": "0104001959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "F0650001",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "541901737",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.