Active NPI
Mohammad Ayan Ghairatmal, CSA
- Psychiatry Physician
- Manassas, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101267671
- Practice address
- 8680 Hospital Way
Manassas, VA 20110-4287 - Phone
- (703) 369-8464
- Fax
- (703) 369-8467
- NPI assigned
- Sep 24, 2012
- Last updated
- Jun 11, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MTL003899 | DC | |
| Psychiatry Physician | 2084P0800X | D89868 | MD | |
| Psychiatry Physician | 2084P0800X | 0101267671 | VA | Primary |
Addresses
Primary practice location
8680 Hospital Way
Manassas, VA 20110-4287
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (703) 369-8464
Other practice location 1
12500 Willowbrook Rd
Cumberland, MD 21502-6393
Phone (240) 964-8585
Other practice location 2
1069 W Broad St
Suite 908
Falls Church, VA 22046-4610
Phone (877) 230-9617
Other practice location 3
12502 Willowbrook Rd Ste 380
Cumberland, MD 21502-6592
Phone (240) 964-8585
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mghairatmal843749@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 Sam Perry Blvd
Fredericksburg, VA 22401-4456
Phone (540) 741-3900
8680 Hospital Way
Manassas, VA 20110-4287
Phone (703) 369-8465
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101267671 | VA | MD | Psychiatry Physician |
Practice roles
Locations
1300 I St NW
Ste 400E
Washington, DC 20005
Phone (202) 902-7324
2041 Georgia Ave NW
Ste 908
Washington, DC 20060
4130 Hunt Pl NE
Washington, DC 20019
Phone (202) 388-4320
650 Pennsylvania Ave SE
Ste 330
Washington, DC 20003
Phone (202) 610-9570
7200 Wisconsin Ave
Ste 702
Bethesda, MD 20814
Phone (202) 215-5348
12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255
12502 Willowbrook Rd
Ste 380
Cumberland, MD 21502
Phone (240) 964-8585
1313 National Hwy
Lavale, MD 21502
Phone (240) 362-0288
24560 Southpoint Dr
Ste 260
Aldie, VA 20105
Phone (571) 248-7472
1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000
2501 N Glebe Rd
Ste 303
Arlington, VA 22207
Phone (703) 485-9519
4105 Lewis and Clark Dr
Charlottesvle, VA 22911
2960 Sleepy Hollow Rd
Falls Church, VA 22044
Phone (703) 304-7764
1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100
1200 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 372-3900
8680 Hospital Way
Manassas, VA 20110
Phone (703) 369-8055
24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696
Interoperability endpoints
- mghairatmal843749@direct.novanthealth.org
Organizations & group practices 17
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.
-
- Family Medicine Physician
- Fredericksburg, VA
- NPI 1295999852
-
- Multi-Specialty Clinic/Center
- Charlottesville, VA
- NPI 1598475741
-
dba VHC Health Medical Group Maternal Fetal Medicine
- Maternal & Fetal Medicine Physician
- Arlington, VA
- NPI 1144415480
DC
-
- Psychiatry Physician
- Washington, DC
- NPI 1225735848
-
- Internal Medicine Physician
- Washington, DC
- NPI 1437974961
-
- Community/Behavioral Health Agency
- Washington, DC
- NPI 1396048070
-
dba UPMC Western Maryland
- Internal Medicine Physician
- Cumberland, MD
- NPI 1184769952
-
- Durable Medical Equipment & Medical Supplies
- Fredericksburg, VA
- NPI 1740853035
-
dba Novant Health UVA Health System Palliative Care
- Hospice and Palliative Medicine (Family Medicine) Physician
- Charlottesville, VA
- NPI 1023483567
-
dba VHC Health Medical Group Neurology
- Neurology Physician
- Arlington, VA
- NPI 1245010479
-
dba VHC Health Medical Group Physical Medicine and Rehabilitation
- Physical Medicine & Rehabilitation Physician
- Arlington, VA
- NPI 1811236367
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1942288527
-
dba Mary Washington Cardiology
- Cardiovascular Disease Physician
- Fredericksburg, VA
- NPI 1013089879
Hospital
-
dba Mary Washington Home Health Agency
- Home Health Agency
- Fredericksburg, VA
- NPI 1407814163
Hospital
-
dba Stafford Hospital
- General Acute Care Hospital
- Stafford, VA
- NPI 1043343304
-
dba UVA Health Haymarket Medical Center
- General Acute Care Hospital
- Haymarket, VA
- NPI 1124369137
-
dba UVA Health Prince William Medical Center
- General Acute Care Hospital
- Manassas, VA
- NPI 1417005760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623369600000",
"number": "1679824239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "703-369-8464",
"fax_number": "703-369-8467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8680 HOSPITAL WAY",
"city": "MANASSAS",
"state": "VA",
"postal_code": "201104287",
"telephone_number": "703-369-8464",
"fax_number": "703-369-8467"
}
],
"practiceLocations": [
{
"address_1": "12500 Willowbrook Rd",
"address_purpose": "LOCATION",
"city": "Cumberland",
"state": "MD",
"postal_code": "215026393",
"country_code": "US",
"telephone_number": "240-964-8585",
"fax_number": "240-964-8586",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1069 W Broad St",
"address_2": "Suite 908",
"address_purpose": "LOCATION",
"city": "Falls Church",
"state": "VA",
"postal_code": "220464610",
"country_code": "US",
"telephone_number": "877-230-9617",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12502 Willowbrook Rd Ste 380",
"address_purpose": "LOCATION",
"city": "Cumberland",
"state": "MD",
"postal_code": "215026592",
"country_code": "US",
"telephone_number": "240-964-8585",
"fax_number": "240-964-8586",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GHAIRATMAL",
"first_name": "MOHAMMAD",
"middle_name": "AYAN",
"credential": "CSA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-24",
"last_updated": "2021-06-11",
"certification_date": "2021-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "DC",
"license": "MTL003899",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D89868",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101267671",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mghairatmal843749@direct.novanthealth.org",
"affiliation": "N",
"address_1": "8680 Hospital Way",
"city": "Manassas",
"state": "VA",
"country_code": "US",
"postal_code": "201104287",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Manassas, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.