Individual provider Active NPI

Ali Kamran, MD

  • Internal Medicine Physician
  • Vienna, VA
National Provider Identifier
1487690129
Registry record updated Dec 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101057259 Issued in VA
Practice address
8302 Old Courthouse Rd Ste C
Vienna, VA 22182-3873
Phone
(703) 462-8138
Fax
(703) 462-8139
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD31202 DC
Internal Medicine Physician 207R00000X 0101057259 VA Primary

Addresses

Primary practice location

8302 Old Courthouse Rd Ste C
Vienna, VA 22182-3873

Mailing address

8607 Monacan Court
Lorton, VA 22079
Phone (202) 812-2277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20070307000091 DC Practitioner - Internal Medicine 1850494162 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD31202DCMDInternal Medicine Physician
0101057259VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Physician Partners, LLC CurrentSince Jan 27, 2014 Accepting new patients
Alexandria Hospitalists, LLC Past Accepting new patients
Inova Physician Partners, Inc. - Specialists Past Accepting new patients
Advanced Pulmonary Critical Care PC Past Accepting new patients

Locations

6355 Walker Ln
Ste 300
Alexandria, VA 22310
Phone (703) 797-6980

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354838400000",
    "number": "1487690129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8607 MONACAN COURT",
            "city": "LORTON",
            "state": "VA",
            "postal_code": "22079",
            "telephone_number": "202-812-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8302 OLD COURTHOUSE RD STE C",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823873",
            "telephone_number": "703-462-8138",
            "fax_number": "703-462-8139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMRAN",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2012-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD31202",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101057259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.