Individual provider Active NPI

Mohammed Haroon Azim, MD

  • Family Medicine Physician
  • Manassas, VA
National Provider Identifier
1467550236
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101236183 Issued in VA
Practice address
8694 Centreville Road
Manassas, VA 20110-5266
Phone
(703) 257-1996
Fax
(703) 361-6078
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101236183 VA Primary
Internal Medicine Physician 207R00000X 0101049112 VA

Addresses

Primary practice location

8694 Centreville Road
Manassas, VA 20110-5266

Mailing address

8694 Centreville Road
Manassas, VA 20110-5266
Phone (703) 257-1996

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130117000122 VA Practitioner - Internal Medicine 9931163011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8420 Quarry Rd
Manassas, VA 20110-5326
Phone (703) 991-1768

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101049112VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency USA Family Medical Care Center Inc CurrentSince Oct 1, 2023 Accepting new patients
Elite Medical Center LLC Internal Medicine CurrentSince Jan 8, 2026 Accepting new patients

Locations

8694 Centreville Rd
Manassas, VA 20110
Phone (703) 257-1996

8420 Quarry Rd
Manassas, VA 20110
Phone (571) 208-1965

Organizations & group practices 2

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1467550236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8694 CENTREVILLE ROAD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105266",
            "telephone_number": "703-257-1996",
            "fax_number": "703-361-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8694 CENTREVILLE ROAD",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105266",
            "telephone_number": "703-257-1996",
            "fax_number": "703-361-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZIM",
        "first_name": "MOHAMMED",
        "middle_name": "HAROON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101236183",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101049112",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.