Organization Active NPI

Mouhamad Jamil MD Pulmonary Sleep Medicine PLLC

  • Specialist
  • Fairfax, VA
National Provider Identifier
1619996808
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101235641 Issued in VA
Legal business name
MOUHAMAD JAMIL MD PULMONARY SLEEP MEDICINE PLLC
Practice address
3911 Old Lee Hwy Ste 42B
Fairfax, VA 22030-2434
Phone
(703) 385-9222
Fax
(703) 385-0882
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mouhamad Ghyath Jamil, M.D. F.C.C.P.NPI 1841226305
Title
Owner
Phone
(703) 587-1585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 0101235641 VA Primary

Addresses

Primary practice location

3911 Old Lee Hwy Ste 42B
Fairfax, VA 22030-2434

Mailing address

12713 Roark CT
Reston, VA 20191-5840
Phone (703) 587-1585

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619996808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12713 ROARK CT",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201915840",
            "telephone_number": "703-587-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 OLD LEE HWY STE 42B",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302434",
            "telephone_number": "703-385-9222",
            "fax_number": "703-385-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUHAMAD JAMIL MD PULMONARY SLEEP MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAMIL",
        "authorized_official_first_name": "MOUHAMAD",
        "authorized_official_middle_name": "GHYATH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-587-1585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D. F.C.C.P."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101235641",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.