Individual provider Active NPI

Hazem A Elariny, MD, PHD, FACS

  • Surgery Physician
  • Vienna, VA
National Provider Identifier
1649203118
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101057211 Issued in VA
Practice address
2235 Cedar LN
302
Vienna, VA 22182-5202
Phone
(703) 778-6000
Fax
(703) 778-6005
NPI assigned
Jul 8, 2006
Last updated
Sep 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101057211 VA Primary
Trauma Surgery Physician 2086S0127X 61708-20 WI

Addresses

Primary practice location

2235 Cedar LN
302
Vienna, VA 22182-5202

Mailing address

2235 Cedar LN
302
Vienna, VA 22182-5202
Phone (703) 778-6000

Other practice location 1

2006 Health Campus Dr Ste 200
Rockingham, VA 22801-8679
Phone (540) 689-5800

Other identifiers 8

IdentifierTypeStateIssuer
52400001OtherVACARE FIRST
206776OtherVAANTHEM
3810011401MedicaidWV
5076737003OtherVACIGNA HMO
1649203118MedicaidVA
5850652OtherVAAETNA PPO
342276OtherVAANTHEM BLUE CROSS-TCH
73-0921-0MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD, DE4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20041217000309 DC Practitioner - General Surgery 8729045042 Reassigns benefits to 1 organization
Practice locations: Vienna, VA
I20080331000231 VA Practitioner - General Surgery 8729045042 Reassigns benefits to 3 organizations
I20130613000326 MD Practitioner - General Surgery 8729045042 Reassigns benefits to 2 organizations
I20210929002005 DE Practitioner - General Surgery 8729045042 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Louisiana State University School of Medicine in Shreveport, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidalhealth Physician Network, Inc.Group PAC ID 7315901253, 115 clinicians
Beebe Physician Network Inc.Group PAC ID 5496744864, 301 clinicians

Practice addresses (Care Compare)

Seaford, DE 19973
Phone 30262966118802

1851 N George Mason Dr
Suite 4C
Arlington, VA 22207-1953
Phone (703) 717-4250

424 Savannah Rd
Lewes, DE 19958-1462
Phone (302) 645-3525

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0101057211VAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shenandoah Memorial Hospital, Inc. CurrentSince Oct 28, 2021 Accepting new patients
Page Memorial Hospital, Inc. CurrentSince Oct 28, 2021 Accepting new patients
Virginia Hospital Center Physician Group, LLC Current Accepting new patients
Warren Memorial Hospital, Inc. CurrentSince Oct 28, 2021 Accepting new patients
Upmc Western Maryland Corporation CurrentSince Nov 15, 2021 Accepting new patients
Upmc Western Maryland Corporation Surgery Current Accepting new patients
Virginia Hospital Center Physician Group LLC CurrentSince Sep 3, 2024 Accepting new patients
Page Memorial Hospital, Inc. CurrentSince Oct 28, 2021 Accepting new patients
Warren Memorial Hospital, Inc. CurrentSince Oct 28, 2021 Accepting new patients
Tidalhealth Physician Network, Inc. CurrentSince Sep 1, 2021 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jun 29, 2013 Accepting new patients
University of Maryland Community Medical Group, Inc. CurrentSince Jun 29, 2013 Accepting new patients
Virginia Hospital Center Physician Group, LLC Surgery CurrentSince Sep 3, 2024 Accepting new patients
Beebe Physician Network, Inc. Surgery CurrentSince Nov 3, 2025 Accepting new patients
Shenandoah Memorial Hospital Inc. CurrentSince Oct 28, 2021 Accepting new patients
Upmc Western Maryland Corporation CurrentSince Nov 15, 2021 Accepting new patients
Shenandoah Memorial Hospital, Inc. Current Accepting new patients
Virginia Hospital Center Physician Group LLC Past Accepting new patients
Upmc Western Maryland Health Services, LLC Surgery Past Accepting new patients
Tidalhealth Nanticoke, Inc Past Accepting new patients
Elite Plastic Surgery LLC PastSince Apr 17, 2009 Accepting new patients
Tidalhealth Physician Network, Inc. Surgery PastSince Feb 2, 2025 Accepting new patients
Shenandoah Memorial Hospital, Inc. Surgery Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Advanced Laparoscopic and General Surgery Associates, PLLC Past Accepting new patients
CMH Surgical Services, LLC Surgery Past Accepting new patients

Locations

21635 Biden Ave
Unit 203
Georgetown, DE 19947
Phone (302) 260-7360

424 Savannah Rd
Lewes, DE 19958
Phone (302) 441-1078

32550 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 539-4302

201 Health Services Dr
Seaford, DE 19973
Phone (302) 297-2412

801 Middleford Rd
Seaford, DE 19973
Phone (302) 628-9178

2540 Centreville Rd
Centreville, MD 21617
Phone (410) 758-4432

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

12502 Willowbrook Rd
Ste 580
Cumberland, MD 21502
Phone (301) 723-4218

219 S Washington St
Easton, MD 21601

503 Dutchmans Ln
#B
Easton, MD 21601
Phone (410) 822-4553

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

1313 National Hwy
Lavale, MD 21502
Phone (240) 362-0288

1635 N George Mason Dr
Ste 430
Arlington, VA 22205
Phone (703) 528-3600

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

1851 N George Mason Dr
Ste 4C
Arlington, VA 22207
Phone (703) 717-4250

351 Valley Health Way
Front Royal, VA 22630
Phone (540) 636-0300

200 Memorial Dr
Luray, VA 22835
Phone (540) 743-4561

240 Shenandoah St
Woodstock, VA 22664
Phone (540) 459-2808

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

Interoperability endpoints

  • Direct secure messaging: hazem.elariny.1@9582.direct.athenahealth.com

Organizations & group practices 27

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.

View all 27

Hospital & facility affiliations 2

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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1649203118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 CEDAR LN",
            "address_2": "302",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221825202",
            "telephone_number": "703-778-6000",
            "fax_number": "703-778-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 CEDAR LN",
            "address_2": "302",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221825202",
            "telephone_number": "703-778-6000",
            "fax_number": "703-778-6005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2006 Health Campus Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Rockingham",
            "state": "VA",
            "postal_code": "228018679",
            "country_code": "US",
            "telephone_number": "540-689-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELARINY",
        "first_name": "HAZEM",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD, PHD, FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101057211",
            "primary": true
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "WI",
            "license": "61708-20",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST",
            "identifier": "52400001",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "206776",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810011401",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HMO",
            "identifier": "5076737003",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649203118",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "5850652",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS-TCH",
            "identifier": "342276",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73-0921-0",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.