Abdullah Al Farooque, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101227765 Issued in VA

Practice address

8609 Sudley Rd
Suite 105
Manassas, VA 20110-4500

Phone

(703) 393-8883

Fax

(703) 686-4240

NPI assigned

May 28, 2006

Last updated

Feb 3, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Abdullah Al Farooque Former name

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Internal Medicine

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Valley Health Clinic IncGroup PAC ID 8527961234, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uva Health Prince William Medical Center Hospital, Manassas, VA, CCN 490045

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: abdullah.farooque.1@17620.direct.athenahealth.com
• Direct secure messaging: abdullah.farooque.1@3238.direct.athenahealth.com
• Direct secure messaging: allergy.tech.1@3238.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/3238/brand/1/csg/1/fhir/r4

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.

• Valley Health Clinic Inc

  • Primary Care Clinic/Center
  • Manassas, VA
  • NPI 1912065863
  Medicare reassignment Care Compare group NPD Authorized official
• Dominion Urgent Care Center LLC

  • Internal Medicine Physician
  • Springfield, VA
  • NPI 1689803207
  NPD (past)
• Fair Oaks Hospitalist Physicians, PLLC

  • Hospitalist Physician
  • Fairfax, VA
  • NPI 1275601205
  NPD (past)
• Fareeha I Khan, MD PC

  • Specialist
  • Fairfax, VA
  • NPI 1316139157
  NPD (past)
• Primedoc of Manassas PC

  • Internal Medicine Physician
  • Manassas, VA
  • NPI 1134366685
  NPD (past)
• Umc Holdings, Inc

  dba Inova Urgent Care Center

  • Urgent Care Clinic/Center
  • Vienna, VA
  • NPI 1609955905
  NPD (past)
• Inpatient Specialists PA

  • Internal Medicine Physician
  • Rockville, MD
  • NPI 1700858586
  NPD (past)

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

• Uva Prince William Medical Center

  dba UVA Health Prince William Medical Center

  • General Acute Care Hospital
  • Manassas, VA
  • NPI 1417005760
  Care Compare affiliation

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1467409961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201670027",
            "telephone_number": "703-393-8883",
            "fax_number": "703-686-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8609 SUDLEY RD",
            "address_2": "SUITE 105",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104500",
            "telephone_number": "703-393-8883",
            "fax_number": "703-686-4240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46169 Westlake Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "VA",
            "postal_code": "201655875",
            "country_code": "US",
            "telephone_number": "703-393-8883",
            "fax_number": "866-765-1362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAROOQUE",
        "first_name": "ABDULLAH",
        "middle_name": "AL",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101227765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005867568",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABDULLAH",
            "last_name": "FAROOQUE",
            "middle_name": "AL",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Farzana Farahmand
• Sonia V Farias, COTA
• Mackenzie R Farmer
• Selina Marie Farmer, LPC
• Neha Farooqi
• Joseph G Farr
• Ibtida Yanat Faruque
• Naz Fatah
• Nicole Fauteux, RBT
• Katherine Jane Faver, M.S. CCC-SLP

• Internal Medicine Physician in Manassas, VA
• Providers in Manassas, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.