Starlink Medical House Call

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

STARLINK MEDICAL HOUSE CALL

Practice address

2248 N Beauregard St Apt 14
Alexandria, VA 22311-2248

Phone

(703) 740-3619

NPI assigned

Oct 27, 2022

Organization subpart

No

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

Authorized official

Name

Nasiru Tejan, NPNPI 1720625221

Title

Owner

Phone

(703) 740-3619

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

Enrollment records 2

Practitioners 3

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

• Nasiru Tejan

  • Family Nurse Practitioner
  • Alexandria, VA
  • NPI 1720625221

  DC, Single Specialty

  Medicare reassignment NPD Authorized official
• Osman Bangura, FNP

  • Family Nurse Practitioner
  • Dumfries, VA
  • NPI 1417810185

  DC

  Medicare reassignment NPD
• John Shyllon

  • Family Nurse Practitioner
  • Falls Church, VA
  • NPI 1255058160

  DC, Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1639896806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11195",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223120195",
            "telephone_number": "703-740-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2248 N BEAUREGARD ST APT 14",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223112248",
            "telephone_number": "703-740-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARLINK MEDICAL HOUSE CALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "TEJAN",
        "authorized_official_first_name": "NASIRU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-740-3619",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zanathia Stalling
• Matthew Lawrence Stampe, LAC
• Erin Stanclift
• Stanton E. Samenow, PH.D., P.C.
• Heather Renee Starbuck
• Michelle Stas, M.D.
• Paul V Stasiewicz
• Erin Ashleyu Statler
• Stephanie Ann Stavish, FNP
• Bonita Steele

• Multi-Specialty Clinic/Center in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Multi-Specialty Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.