Individual provider Active NPI

Ghassan Ilaiwy, M.D.

  • Hospitalist Physician
  • Washington, DC
National Provider Identifier
1588059752
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
0101263994 Issued in VA
Practice address
110 Irving St NW
Department of Internal Medicine
Washington, DC 20010
Phone
(202) 877-2835
Fax
(202) 877-8288
NPI assigned
Apr 3, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101263994 VA
Hospitalist Physician 208M00000X 0101263994 VA Primary

Addresses

Primary practice location

110 Irving St NW
Department of Internal Medicine
Washington, DC 20010

Mailing address

2300 Fall Hill Ave Ste 515
Fredericksburg, VA 22401-3371
Phone (540) 741-0543

Other names 1

  • Ghassan Ilaiwy Other name

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
I20180425001780 VA Practitioner - Internal Medicine 6103180203 Reassigns benefits to 2 organizations
I20240212004378 DC Practitioner - Internal Medicine 6103180203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Washington Healthcare Providers LLCGroup PAC ID 1456629369, 264 clinicians
Emergency Medicine Associates P.a., P.C.Group PAC ID 8022914522, 706 clinicians

Practice addresses (Care Compare)

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 741-4350

1701 N George Mason Dr
Arlington, VA 22205-3610
Phone (703) 558-5000

4320 Seminary Rd
Alexandria, VA 22304-1535
Phone (703) 504-3000

8260 Atlee Rd
Mechanicsville, VA 23116-1844
Phone (240) 686-2300

Hospital & facility affiliations

  • Mary Washington Hospital Hospital, Fredericksburg, VA, CCN 490022
  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101263994VAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Washington Healthcare Providers LLC Hospitalist CurrentSince Apr 1, 2018 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jan 1, 2024 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. Internal Medicine CurrentSince May 1, 2022 Accepting new patients
Emergency Medicine Associates P.a., P.C. Internal Medicine CurrentSince May 1, 2022 Accepting new patients
Arnot Medical Services PLLC Internal Medicine Past Accepting new patients

Locations

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

125 Hospital Center Blvd
Stafford, VA 22554
Phone (540) 602-6500

Interoperability endpoints

  • Direct secure messaging: gilaiwy54385@marywashingtonhealthcare.direct-ci.com

Organizations & group practices 5

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 4

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": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1588059752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 FALL HILL AVE STE 515",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013371",
            "telephone_number": "540-741-0543",
            "fax_number": "540-741-0546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 IRVING ST NW",
            "address_2": "DEPARTMENT OF INTERNAL MEDICINE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20010",
            "telephone_number": "202-877-2835",
            "fax_number": "202-877-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILAIWY",
        "first_name": "GHASSAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-03",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101263994",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101263994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GHASSAN",
            "last_name": "ILAIWY",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.