Individual provider Active NPI

Mutahar Fauzia, M.D.

  • Obstetrics & Gynecology Physician
  • Falls Church, VA
National Provider Identifier
1467454223
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101037011 Issued in VA
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

Updated by the provider on Feb 21, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5320010OtherVAAETNA PPO INS ID
1456121OtherVAUNITED HEALTHCARE ID
205757OtherVAANTHEM BCBS ID
2340766OtherVACIGNA INS ID
52300001OtherVACAREFIRST BCBS ID
006213375MedicaidVA

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

LicenseStateTypeSpecialty
0101037011VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.