Individual provider Active NPI

Abu Ahmed Nasrullah, M.D.

  • Ophthalmology Physician
  • Lansdowne, VA
National Provider Identifier
1528100211
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101232401 Issued in VA
Practice address
19415 Deerfield Ave
Ste 106
Lansdowne, VA 20176-8452
Phone
(703) 723-9633
Fax
(703) 723-9772
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101232401 VA Primary

Addresses

Primary practice location

19415 Deerfield Ave
Ste 106
Lansdowne, VA 20176-8452

Mailing address

19415 Deerfield Ave Ste 106
Lansdowne, VA 20176-8470
Phone (703) 723-9633

Other identifiers 1

IdentifierTypeStateIssuer
006310532MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040310001240 DC Practitioner - Ophthalmology 9436047958 Reassigns benefits to 1 organization
I20111110000130 VA Practitioner - Ophthalmology 9436047958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Tennessee, HSC, College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dulles Eye Associates, P.C.Group PAC ID 9638067150, 21 clinicians

Practice addresses (Care Compare)

19415 Deerfield Ave
Suite 106
Lansdowne, VA 20176-8470
Phone (703) 723-9633

3301 Woodburn Rd
Suite 204
Annandale, VA 22003-7302
Phone (703) 723-9633

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery261

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dulles Eye Associates, P.C. Ophthalmology Current Accepting new patients
Refocus Eye Health of Central Connecticut, P.C. Ophthalmology Current Accepting new patients
Dulles Eye Associates, P.C. Ophthalmology CurrentSince Jan 1, 2003 Accepting new patients
Metro Eyes Vision Care PLLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Martin P Kolsky MD Chartered Ophthalmology PastSince Jul 19, 2004 Accepting new patients

Locations

3301 Woodburn Rd
Ste 204
Annandale, VA 22003
Phone (703) 560-7797

8316 Arlington Blvd
Ste 640
Fairfax, VA 22031
Phone (703) 208-0820

8316 Arlington Blvd
Ste 235
Fairfax, VA 22031
Phone (703) 573-8080

19415 Deerfield Ave
Ste 106
Leesburg, VA 20176
Phone (703) 723-5398

12359 Sunrise Valley Dr
Ste 160
Reston, VA 20191
Phone (703) 961-1680

20789 Great Falls Plz
Ste 108
Sterling, VA 20165
Phone (571) 313-1942

Interoperability endpoints

  • Direct secure messaging: anasrullah@refocus.intellechartdirect.net

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766361600000",
    "number": "1528100211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19415 DEERFIELD AVE STE 106",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768470",
            "telephone_number": "703-723-9633",
            "fax_number": "703-723-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19415 DEERFIELD AVE",
            "address_2": "STE 106",
            "city": "LANSDOWNE",
            "state": "VA",
            "postal_code": "201768452",
            "telephone_number": "703-723-9633",
            "fax_number": "703-723-9772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASRULLAH",
        "first_name": "ABU AHMED",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101232401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006310532",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdowne, VA

Sources for this page

Verify at the official NPI Registry.