Zakee Omar Shabazz, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0103300961 Issued in VA

Practice address

12011 Lee Jackson Memorial Hwy Ste 440
Fairfax, VA 22033-3335

Phone

(703) 865-6783

Fax

(703) 865-6784

NPI assigned

Aug 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2001

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: zak.shabazz@fopas-va.direct.office.nextgen.com

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.

• Fair Oaks Podiatry and Sports

  • Foot & Ankle Surgery Podiatrist
  • Fairfax, VA
  • NPI 1912140310

  DC

  Medicare reassignment NPD Authorized official
• Renascance Dermatology PC

  • Dermatology Physician
  • Fairfax, VA
  • NPI 1457796641
  NPD (past)
• Advanced Medical and Healthcare Center

  • Family Medicine Physician
  • San Gabriel, CA
  • NPI 1265537526
  NPD (past)
• Holy Medical Center, Inc.

  • Primary Care Clinic/Center
  • Los Angeles, CA
  • NPI 1730108929
  NPD (past)
• JK Healthcare Management Inc

  • Chiropractor
  • Los Angeles, CA
  • NPI 1770811515
  NPD (past)
• McClain Sports & Wellness Inc a Professional Chiropractic Corporation

  • Chiropractor
  • Los Angeles, CA
  • NPI 1447416631
  NPD (past)
• Polun American Surgery Center, PC

  • Podiatric Clinic/Center
  • Potomac, MD
  • NPI 1780687442
  NPD (past)
• Polun Family Footcare P C

  • Podiatrist
  • Owings Mills, MD
  • NPI 1174615173
  NPD (past)
• Premier Podiatry of Virginia LLC

  • Podiatrist
  • Owings Mills, MD
  • NPI 1356430078
  NPD (past)
• Wan Yao, M.D. a Professional Corporation

  • Internal Medicine Physician
  • Monterey Park, CA
  • NPI 1457386807
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Inova Health Care Services

  • General Acute Care Hospital
  • Fairfax, VA
  • NPI 1760513980
  Care Compare affiliation

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1437266145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12011 LEE JACKSON MEMORIAL HWY STE 440",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220333335",
            "telephone_number": "703-865-6783",
            "fax_number": "703-865-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12011 LEE JACKSON MEMORIAL HWY STE 440",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220333335",
            "telephone_number": "703-865-6783",
            "fax_number": "703-865-6784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHABAZZ",
        "first_name": "ZAKEE",
        "middle_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "DC",
            "license": "PO1000050",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01438",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4544",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103300961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shauna Marie Severo, RN, BSN
• Caroline Sexson
• Amanda Seymore, MOTR/L
• Mojgan Shaafi, DDS
• Dwana Rashad Shabazz, M.D.
• Raafat Ali Shabti, MD
• Shaden Dental Group PLLC
• Shady Grove Reproductive Science Center PC
• Danielle A. Shafer, DO
• Amisha Shah

• Foot & Ankle Surgery Podiatrist in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Foot & Ankle Surgery Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.