Active NPI
Komal Bhutto, MSW
- Social Worker
- Fairfax, VA
National Provider Identifier
1598399701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 3025 Hamaker CT Ste 450
Fairfax, VA 22031-2237 - Phone
- (703) 204-9100
- Fax
- (301) 468-1862
- NPI assigned
- Feb 26, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | VA | Primary |
Addresses
Primary practice location
3025 Hamaker CT Ste 450
Fairfax, VA 22031-2237
Mailing address
3025 Hamaker CT Ste 450
Fairfax, VA 22031-2237
Phone (703) 204-9100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
8500 Executive Park Ave
Suite 200
Fairfax, VA 22031-2228
Phone (703) 698-5220
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Virginia Psychiatric Group | Current | Accepting new patients |
Locations
8500 Executive Park Ave
Ste 200
Fairfax, VA 22031
Phone (703) 698-5200
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 1
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": "1582675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582675200000",
"number": "1598399701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3025 HAMAKER CT STE 450",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312237",
"telephone_number": "703-204-9100",
"fax_number": "301-468-1862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3025 HAMAKER CT STE 450",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312237",
"telephone_number": "703-204-9100",
"fax_number": "301-468-1862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHUTTO",
"first_name": "KOMAL",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-26",
"last_updated": "2020-02-26",
"certification_date": "2020-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "VA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.