Individual provider Active NPI

Leila M Youssef, M.D.

  • Internal Medicine Physician
  • Alexandria, VA
National Provider Identifier
1629071550
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101230490 Issued in VA
Practice address
1600 N. Beauregard St, St 300
Alexandria, VA 22311-1732
Phone
(703) 717-4148
Fax
(703) 717-4149
NPI assigned
May 24, 2005
Last updated
Sep 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101230490 VA Primary

Addresses

Primary practice location

1600 N. Beauregard St, St 300
Alexandria, VA 22311-1732

Mailing address

1600 N. Beauregard St, St 300
Alexandria, VA 22311-1732
Phone (703) 717-4148

Other identifiers 5

IdentifierTypeStateIssuer
2115609OtherVAMAMSI
2156OtherVAGROUP B/C #
0012OtherVAB/C INDIVIDUAL #
463705OtherVAANTHEM
3146513OtherVAAETNA

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110118000468 DC Practitioner - Internal Medicine 7719176023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sanjeev Kohli, MD PCGroup PAC ID 4587824644, 3 clinicians

Practice addresses (Care Compare)

4660 Kenmore Ave
Suite 900
Alexandria, VA 22304-1383
Phone (703) 820-7000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sanjeev Kohli, MD PC Internal Medicine CurrentSince Jan 1, 2015 Accepting new patients
Sikkema Chiropractic Virginia, Inc. Past Accepting new patients
Advanced Back and Neck Pain Center Past Accepting new patients
Commonwealth Sleep Center, LLC PastSince Jun 1, 2008 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3450 N Beauregard St
Ste 1
Alexandria, VA 22302
Phone (703) 820-7000

4216 King St
Alexandria, VA 22302
Phone (703) 820-7000

4660 Kenmore Ave
Ste 900
Alexandria, VA 22304
Phone (703) 212-0700

2200 Opitz Blvd
Ste 335
Woodbridge, VA 22191
Phone (517) 261-9877

Interoperability endpoints

  • Direct secure messaging: leila.youssef@bm.eclinicaldirectplus.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1629071550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N. BEAUREGARD ST, ST 300",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111732",
            "telephone_number": "703-717-4148",
            "fax_number": "703-717-4149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N. BEAUREGARD ST, ST 300",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223111732",
            "telephone_number": "703-717-4148",
            "fax_number": "703-717-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSSEF",
        "first_name": "LEILA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101230490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "2115609",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP B/C #",
            "identifier": "2156",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "B/C INDIVIDUAL #",
            "identifier": "0012",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "463705",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3146513",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.