Active NPI
Mutahar Fauzia, M.D.
- Obstetrics & Gynecology Physician
- Falls Church, VA
National Provider Identifier
1467454223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 0101037011
- Practice address
- 5697 Columbia Pike
Ste 100
Falls Church, VA 22041-2897 - Phone
- (703) 845-3400
- Fax
- (800) 485-0703
- NPI assigned
- Aug 11, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101037011 | VA | |
| Reproductive Endocrinology Physician | 207VE0102X | 0101037011 | VA | |
| Obstetrics & Gynecology Physician | 207V00000X | 0101037011 | VA | Primary |
Addresses
Primary practice location
5697 Columbia Pike
Ste 100
Falls Church, VA 22041-2897
Mailing address
5697 Columbia Pike
Ste 100
Falls Church, VA 22041-2897
Phone (703) 845-3400
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5320010 | Other | VA | AETNA PPO INS ID |
| 1456121 | Other | VA | UNITED HEALTHCARE ID |
| 205757 | Other | VA | ANTHEM BCBS ID |
| 2340766 | Other | VA | CIGNA INS ID |
| 52300001 | Other | VA | CAREFIRST BCBS ID |
| 006213375 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101037011 | VA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mutahar Fauzia MD | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Falls Church, VA
- NPI 1811237308
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361404800000",
"number": "1467454223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5697 COLUMBIA PIKE",
"address_2": "STE 100",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220412897",
"telephone_number": "703-845-3400",
"fax_number": "800-485-0703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5697 COLUMBIA PIKE",
"address_2": "STE 100",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220412897",
"telephone_number": "703-845-3400",
"fax_number": "800-485-0703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAUZIA",
"first_name": "MUTAHAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-11",
"last_updated": "2013-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101037011",
"primary": false
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "VA",
"license": "0101037011",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "VA",
"license": "0101037011",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO INS ID",
"identifier": "5320010",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE ID",
"identifier": "1456121",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS ID",
"identifier": "205757",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA INS ID",
"identifier": "2340766",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS ID",
"identifier": "52300001",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006213375",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.