Individual provider Active NPI

Fatimah Nasser Alfaraj, MD

  • Family Medicine Physician
  • Richmond, VA
National Provider Identifier
1528677382
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101276329 Issued in VA
Practice address
3806 Mechanicsville Tpke
Richmond, VA 23223-1114
Phone
(804) 228-1143
Fax
(804) 554-5386
NPI assigned
Jul 28, 2020
Last updated
Jun 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101276329 VA Primary

Addresses

Primary practice location

3806 Mechanicsville Tpke
Richmond, VA 23223-1114

Mailing address

3806 Mechanicsville Tpke
Richmond, VA 23223-1114
Phone (804) 228-1143

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fatimah.alfaraj@ttuhsc.edu Direct Texas Tech University Health Sciences Center Amarillo

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20230627001482 VA Practitioner - Family Practice 9234555897 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
PMR Virginia Holding, LLC CurrentSince Jul 1, 2023 Accepting new patients
Jencare Neighborhood Medical East Richmond, LLC CurrentSince Jun 18, 2023 Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

3806 Mechanicsville Tpke
Richmond, VA 23223
Phone (804) 228-1143

Interoperability endpoints

  • Direct secure messaging: falfaraj290319@ahs.direct-ci.com
  • Direct secure messaging: fatimah.alfaraj@ttuhsc.edu

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1528677382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3806 MECHANICSVILLE TPKE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232231114",
            "telephone_number": "804-228-1143",
            "fax_number": "804-554-5386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3806 MECHANICSVILLE TPKE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232231114",
            "telephone_number": "804-228-1143",
            "fax_number": "804-554-5386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFARAJ",
        "first_name": "FATIMAH",
        "middle_name": "NASSER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101276329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fatimah.alfaraj@ttuhsc.edu",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "Texas Tech University Health Sciences Center Amarillo",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secured university/hospital email",
            "address_1": "1400 S Coulter St Ste 5100",
            "city": "Amarillo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "791061786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.