Active NPI
Internal Medicine of Virginia, P.C.
- Internal Medicine Physician
- Stafford, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- INTERNAL MEDICINE OF VIRGINIA, P.C.
- Practice address
- 1179 Courthouse Rd Ste 1
Stafford, VA 22554-9928 - Phone
- (540) 288-8284
- Fax
- (540) 288-8286
- NPI assigned
- Jul 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abla A. Awadh, M.D.
- Title
- Physician
- Phone
- (571) 331-9219
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1179 Courthouse Rd Ste 1
Stafford, VA 22554-9928
Mailing address
1179 Courthouse Rd Ste 1
Stafford, VA 22554-9928
Phone (540) 288-8284
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061201000486 | VA | Part B Supplier - Clinic/Group Practice | 2860490745 |
Receives reassigned benefits from 2 practitioners Practice locations: Stafford, VA |
National Provider Directory
National Provider DirectoryLocations
2300 Charles St
Ste 202B
Fredericksburg, VA 22401
Phone (540) 899-9792
1179 Courthouse Rd
Ste 1
Stafford, VA 22554
Phone (540) 288-8284
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Fredericksburg, VA
- NPI 1548282676
Internal Medicine, VA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692662400000",
"number": "1528080652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1179 COURTHOUSE RD STE 1",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225549928",
"telephone_number": "540-288-8284",
"fax_number": "540-288-8286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1179 COURTHOUSE RD STE 1",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225549928",
"telephone_number": "540-288-8284",
"fax_number": "540-288-8286"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERNAL MEDICINE OF VIRGINIA, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-25",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A",
"authorized_official_last_name": "AWADH",
"authorized_official_first_name": "ABLA",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "571-331-9219",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stafford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.