Individual provider Active NPI

Aatirah Holmes, MD

  • Pediatrics Physician
  • Alexandria, VA
National Provider Identifier
1659931129
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101275665 Issued in VA
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

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20221228000811 VA Practitioner - Pediatric Medicine 4981074416 Reassigns benefits to 1 organization
I20230103000000 DC Practitioner - Pediatric Medicine 4981074416 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.074991ILMDPediatrics Physician
0101275665VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services Pediatrics CurrentSince Sep 12, 2022 Accepting new patients
Inova Health Care Services CurrentSince Sep 12, 2022 Accepting new patients
Inova Health Care Services CurrentSince Sep 12, 2022 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.