Active NPI
Farah Ansari
- Family Medicine Physician
- Burke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101272320
- Practice address
- 5999 Burke Commons Rd
Burke, VA 22015-2880 - Phone
- (703) 249-7700
- NPI assigned
- Apr 8, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
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.
-
- Health Maintenance Organization
- Lansdowne, VA
- NPI 1861552721
Family Medicine, VA
-
- Emergency Medical Services (Emergency Medicine) Physician
- Jamaica, NY
- NPI 1477505220
NY
-
- Health Maintenance Organization
- Annapolis, MD
- NPI 1952461816
DC, Family Medicine
-
- Skilled Nursing Facility
- Jamaica, NY
- NPI 1750516795
-
- Health Maintenance Organization
- Gaithersburg, MD
- NPI 1831471713
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rockville, MD
- NPI 1962108753
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171003006090 | NY | Practitioner - Family Practice | 8820363740 | Reassigns benefits to 1 organization |
| I20210723001276 | DC | Practitioner - Family Practice | 8820363740 | Reassigns benefits to 1 organization |
| I20230913000623 | VA | Practitioner - Family Practice | 8820363740 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Family Medicine | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Jamaica Hospital | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Family Medicine | Current | Accepting new patients |
| Jamaica Hospital | Current | Accepting new patients |
Locations
2101 E Jefferson St
Ste 4EAST
Rockville, MD 20852
2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853
1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500
3080 Atlantic Ave
Brooklyn, NY 11208
Phone (718) 647-0240
5999 Burke Commons Rd
Burke, VA 22015
Phone (703) 249-7200
125 Hospital Center Blvd
Stafford, VA 22554
Phone (540) 602-6500
14139 Potomac Mills Rd
Woodbridge, VA 22192
Phone (703) 257-3000
Interoperability endpoints
- fansari80194@direct.medisys.org
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 0101272320 | VA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
5999 Burke Commons Rd
Burke, VA 22015-2880
Mailing address
5999 Burke Commons Rd
Burke, VA 22015-2880
Electronic endpoints 1
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 7, 2021.
{
"created_epoch": "1396915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630972800000",
"number": "1487073391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5999 BURKE COMMONS RD",
"city": "BURKE",
"state": "VA",
"postal_code": "220152880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5999 BURKE COMMONS RD",
"city": "BURKE",
"state": "VA",
"postal_code": "220152880",
"telephone_number": "703-249-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANSARI",
"first_name": "FARAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-08",
"last_updated": "2021-09-07",
"certification_date": "2021-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101272320",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "5999 Burke Commons Rd",
"city": "Burke",
"state": "VA",
"country_code": "US",
"postal_code": "220152880",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Burke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.