Active NPI
Mamoona Choudry
- Family Nurse Practitioner
- Leesburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024191097
- Practice address
- 44045 Riverside Pkwy
Leesburg, VA 20176-5101 - Phone
- (703) 858-6000
- NPI assigned
- Jun 27, 2024
- Last updated
- Sep 12, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0024191097 | VA | Primary |
| Medical-Surgical Registered Nurse | 163WM0705X | 0001296048 | VA |
Addresses
Primary practice location
44045 Riverside Pkwy
Leesburg, VA 20176-5101
Mailing address
43648 Evergold Ter Unit 201
Ashburn, VA 20147-4983
Phone (571) 226-6935
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5249 Duke St
Suite 410
Alexandria, VA 22304-2919
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001296048 | VA | MD | Medical-Surgical Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Infectious Disease Consultants, LLC | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Metro Infectious Disease Consultants LLC | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Metro Infectious Disease Consultants, LLC | Past | Accepting new patients |
Locations
901 McClintock Dr
Ste 201
Burr Ridge, IL 60527
Phone (630) 654-4201
901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201
6510 Kenilworth Ave
Ste 1400
Riverdale, MD 20737
Phone (301) 779-0095
5249 Duke St
Ste 410
Alexandria, VA 22304
Phone (703) 212-7500
20925 Professional Plz
Ste 310
Ashburn, VA 20147
Phone (703) 687-4127
4001 Fair Ridge Dr
Ste 203
Fairfax, VA 22033
Phone (703) 865-7680
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
44055 Riverside Pkwy
Ste 110
Leesburg, VA 20176
Phone (703) 391-4500
Organizations & group practices 5
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.
-
dba Midc, LLC
- Infectious Disease Physician
- Burr Ridge, IL
- NPI 1235125717
DC, VA
-
- Internal Medicine Physician
- Falls Church, VA
- NPI 1952320061
-
dba Inova Blood Donor Services
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
dba Midc
- Infectious Disease Physician
- Jonesboro, GA
- NPI 1770307191
-
- Infectious Disease Physician
- Plymouth, MI
- NPI 1841530250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1467297929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43648 EVERGOLD TER UNIT 201",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201474983",
"telephone_number": "571-226-6935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44045 RIVERSIDE PKWY",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201765101",
"telephone_number": "703-858-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOUDRY",
"first_name": "MAMOONA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-27",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024191097",
"primary": true
},
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "VA",
"license": "0001296048",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.