Active NPI
Ataharul H Mannan, DO
- Internal Medicine Physician
- Vienna, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0102207263
- Practice address
- 2671B Avenir PL
Vienna, VA 22180-7176 - Phone
- (703) 207-8600
- Fax
- (703) 207-9224
- NPI assigned
- Mar 30, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0102207263 | VA | Primary |
Addresses
Primary practice location
2671B Avenir PL
Vienna, VA 22180-7176
Mailing address
PO Box 37189
Baltimore, MD 21297-3189
Phone (571) 423-5699
Other practice location 1
55 Arch St Ste 1B
Akron, OH 44304-1436
Phone (330) 375-3315
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Edward Via Col of Osteo Medicine-Virginia Campus, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2671 Avenir PL
Suite B
Vienna, VA 22180-7485
Phone (703) 207-8600
3914 Centreville Rd
Suite 250
Chantilly, VA 20151-3290
Phone (703) 435-1223
8503 Arlington Blvd
Suite 400
Fairfax, VA 22031-4629
Phone (571) 472-6253
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.98 of 100
- Quality
- 87.97
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Physician Partners, LLC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Inova Physician Partners, Inc. - Specialists | Past | Accepting new patients |
Locations
3914 Centreville Rd
Ste 250
Chantilly, VA 20151
Phone (703) 435-1223
8503 Arlington Blvd
Fl 4
Fairfax, VA 22031
Phone (703) 938-0363
Interoperability endpoints
- amannan1091366@soc.inova.org
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Leesburg, VA
- NPI 1811204050
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672790400000",
"number": "1508327578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37189",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212973189",
"telephone_number": "571-423-5699",
"fax_number": "571-423-5698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2671B AVENIR PL",
"city": "VIENNA",
"state": "VA",
"postal_code": "221807176",
"telephone_number": "703-207-8600",
"fax_number": "703-207-9224"
}
],
"practiceLocations": [
{
"address_1": "55 Arch St Ste 1B",
"address_purpose": "LOCATION",
"city": "Akron",
"state": "OH",
"postal_code": "443041436",
"country_code": "US",
"telephone_number": "330-375-3315",
"fax_number": "330-375-7779",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANNAN",
"first_name": "ATAHARUL",
"middle_name": "H",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-30",
"last_updated": "2023-01-04",
"certification_date": "2023-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0102207263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.