Individual provider Active NPI

Yasser Khoudeir, MD, FACP

  • Hospitalist Physician
  • Rockingham, VA
National Provider Identifier
1568430817
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
0101255048 Issued in VA
Practice address
2010 Health Campus Dr
Rockingham, VA 22801-8679
Phone
(540) 689-1110
Fax
(540) 689-1119
NPI assigned
Mar 11, 2006
Last updated
Jul 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101255048 VA
Internal Medicine Physician 207R00000X MD061649L PA
Hospitalist Physician 208M00000X 0101255048 VA Primary

Addresses

Primary practice location

2010 Health Campus Dr
Rockingham, VA 22801-8679

Mailing address

2300 Opitz Blvd Ste G-209
Woodbridge, VA 22191-3311
Phone (703) 523-0611

Other practice location 1

2300 Opitz Blvd Ste G-209
Woodbridge, VA 22191-3311
Phone (703) 523-0611

Other identifiers 2

IdentifierTypeStateIssuer
P00469836OtherPARAIL ROAD MEDICARE
0016634470003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20141231001418 VA Practitioner - HospitalistPractitioner - Internal Medicine 4789657396 Reassigns benefits to 4 organizations
I20210226000114 DC Practitioner - HospitalistPractitioner - Internal Medicine 4789657396 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliance Medical GroupGroup PAC ID 0941615322, 5 clinicians
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

2300 Opitz Blvd
Woodbridge, VA 22191-3311
Phone (571) 530-5951

2501 Parkers LN
Alexandria, VA 22306-3209
Phone (877) 511-4625

3300 Gallows Rd
Falls Church, VA 22042-3307

8013 Colorado Springs Dr
Springfield, VA 22153-2751
Phone (571) 430-5951

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD061649LPAMDInternal Medicine Physician
0101255048VAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RMH Medical Group LLC CurrentSince Mar 1, 2021 Accepting new patients
Sentara Medical Group Internal Medicine CurrentSince Nov 17, 2014 Accepting new patients
Alliance Medical Group Internal Medicine CurrentSince Dec 1, 2020 Accepting new patients
RMH Medical Group LLC CurrentSince Mar 1, 2021 Accepting new patients
Inova Health Care Services CurrentSince May 17, 2021 Accepting new patients
Inova Health Care Services Internal Medicine CurrentSince May 17, 2021 Accepting new patients
H&B Care PLLC Internal Medicine PastSince Dec 1, 2020 Accepting new patients

Locations

3300 Gallows Rd
Fl 1
Falls Church, VA 22042
Phone (703) 776-4005

136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

2010 Health Campus Dr
Rockingham, VA 22801
Phone (540) 689-1000

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

2300 Opitz Blvd
Ste G209
Woodbridge, VA 22191

Interoperability endpoints

  • Direct secure messaging: ykhoudeir790918@soc.inova.org

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1568430817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 OPITZ BLVD STE G-209",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913311",
            "telephone_number": "703-523-0611",
            "fax_number": "703-670-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 HEALTH CAMPUS DR",
            "city": "ROCKINGHAM",
            "state": "VA",
            "postal_code": "228018679",
            "telephone_number": "540-689-1110",
            "fax_number": "540-689-1119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Opitz Blvd Ste G-209",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221913311",
            "country_code": "US",
            "telephone_number": "703-523-0611",
            "fax_number": "703-670-2089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHOUDEIR",
        "first_name": "YASSER",
        "name_prefix": "Dr.",
        "credential": "MD, FACP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-11",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101255048",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD061649L",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101255048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00469836",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016634470003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockingham, VA

Sources for this page

Verify at the official NPI Registry.