Active NPI
Mashal Fakhar
- Student in an Organized Health Care Education/Training Program
- Fredericksburg, VA
National Provider Identifier
1679321467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 12101 Carol Lane, Suite 101 MWHC Family Medicine Reside
Fredericksburg, VA 22407 - Phone
- (540) 418-6681
- NPI assigned
- May 8, 2024
- Last updated
- Nov 26, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary |
Addresses
Primary practice location
12101 Carol Lane, Suite 101 MWHC Family Medicine Reside
Fredericksburg, VA 22407
Mailing address
12101 Carol Lane, Suite 101 MWHC Family Medicine Gme
Fredericksburg, VA 22407
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250203002953 | VA | Order and Referring Only - Family Practice | 8820528037 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- mfakhar120879@marywashingtonhealthcare.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732579200000",
"number": "1679321467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12101 CAROL LANE, SUITE 101 MWHC FAMILY MEDICINE GME",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "22407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12101 CAROL LANE, SUITE 101 MWHC FAMILY MEDICINE RESIDE",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "22407",
"telephone_number": "540-418-6681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAKHAR",
"first_name": "MASHAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-08",
"last_updated": "2024-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fredericksburg, VA
- Eyes in the 'Burg O.D. PLC
- Eyewatch Live Medical, P.a.
- Ashley Hunter Fadul, PHARMD
- Hashir Faheem
- Heather Fairfax
- Fall Hill Gastroenterology Associates, a Division of Maha, Inc.
- Fall Hill Gastroenterology Associates, LTD.
- Fall Hill Gastroenterology Endoscopy Center LLC
- Fall Hill Pediatrics
- Jacqueline Bowen Falls, CPNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.