Individual provider Active NPI

Abdul Qadir Haji, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Arlington, VA
National Provider Identifier
1578542841
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
0101244590 Issued in VA
Practice address
611 S Carlin Springs Rd Ste 301
Arlington, VA 22204-1086
Phone
(703) 801-2041
Fax
(703) 780-9077
NPI assigned
Jan 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0101244590 VA
Clinical Cardiac Electrophysiology Physician 207RC0001X 0101244590 VA Primary

Addresses

Primary practice location

611 S Carlin Springs Rd Ste 301
Arlington, VA 22204-1086

Mailing address

19676 Player CT
Ashburn, VA 20147-5230
Phone (703) 801-2049

Other identifiers 2

IdentifierTypeStateIssuer
1578542841MedicaidVA
P00178668OtherRAILROAD MEDICARE

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
I20090617000383 VA Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 3274521471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stateline Heart and Vascular Health, IncGroup PAC ID 9931469319, 2 clinicians

Practice addresses (Care Compare)

435 Commonwealth Blvd E
Martinsville, VA 24112-2014
Phone (276) 403-4278

435 E Commonwealth Blvd
Martinsvile, VA 24112-2014

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101244590VAMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stateline Heart and Vascular Health, Inc Cardiovascular Disease CurrentSince Sep 1, 2022 Accepting new patients
North Eastern Virginia Medical, PLLC Past Accepting new patients
University Internal Medicine Associates, Inc. Cardiovascular Disease Past Accepting new patients
North Ohio Heart Center Inc Cardiovascular Disease Past Accepting new patients

Locations

435 Commonwealth Blvd E
Martinsville, VA 24112
Phone (276) 403-4278

Interoperability endpoints

  • Direct secure messaging: abdul.haji.1@16877.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16877/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1578542841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19676 PLAYER CT",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475230",
            "telephone_number": "703-801-2049",
            "fax_number": "703-780-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S CARLIN SPRINGS RD STE 301",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222041086",
            "telephone_number": "703-801-2041",
            "fax_number": "703-780-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAJI",
        "first_name": "ABDUL",
        "middle_name": "QADIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101244590",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "VA",
            "license": "0101244590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578542841",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00178668",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.