Active NPI
Aatirah Holmes, MD
- Pediatrics Physician
- Alexandria, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101275665
- Practice address
- 4700 King St Ste 100
Alexandria, VA 22302-4420 - Phone
- (703) 776-4110
- NPI assigned
- Jun 17, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 125.074991 | IL | |
| Pediatrics Physician | 208000000X | 0101275665 | VA | Primary |
Addresses
Primary practice location
4700 King St Ste 100
Alexandria, VA 22302-4420
Mailing address
PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5741
Other practice location 1
5841 S Maryland Ave # Mc1052
Chicago, IL 60637-1443
Phone (773) 702-9960
Other practice location 2
14605 Potomac Branch Dr Ste 210
Woodbridge, VA 22191-3337
Phone (703) 446-4110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.074991 | IL | MD | Pediatrics Physician |
| 0101275665 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Pediatrics | Current | Accepting new patients |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients |
Locations
4700 King St
Ste 100
Alexandria, VA 22302
Phone (571) 665-6570
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
8051 Sudley Rd
Manassas, VA 20109
Phone (571) 598-3851
14605 Potomac Branch Dr
Ste 210
Woodbridge, VA 22191
Phone (703) 620-3211
Interoperability endpoints
- aholmes1100971@soc.inova.org
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Falls Church, VA
- NPI 1952320061
DC, Pediatrics
-
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
- Diagnostic Radiology Physician
- Waldorf, MD
- NPI 1851829550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668643200000",
"number": "1659931129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37174",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212973174",
"telephone_number": "571-423-5741",
"fax_number": "703-289-4612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 KING ST STE 100",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223024420",
"telephone_number": "703-776-4110"
}
],
"practiceLocations": [
{
"address_1": "5841 S Maryland Ave # Mc1052",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606371443",
"country_code": "US",
"telephone_number": "773-702-9960",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14605 Potomac Branch Dr Ste 210",
"address_purpose": "LOCATION",
"city": "Woodbridge",
"state": "VA",
"postal_code": "221913337",
"country_code": "US",
"telephone_number": "703-446-4110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLMES",
"first_name": "AATIRAH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-17",
"last_updated": "2022-11-17",
"certification_date": "2022-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "125.074991",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101275665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.