Individual provider Active NPI

Mohammad Ayan Ghairatmal, CSA

  • Psychiatry Physician
  • Manassas, VA
National Provider Identifier
1679824239
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101267671 Issued in VA
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address mghairatmal843749@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VA, DC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20200709000062 MD Practitioner - Psychiatry 2567758972 Reassigns benefits to 1 organization
I20201121000108 VA Practitioner - Psychiatry 2567758972 Reassigns benefits to 3 organizations
I20220622000439 DC Practitioner - Psychiatry 2567758972 Reassigns benefits to 5 organizations

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

LicenseStateTypeSpecialty
0101267671VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Health Solutions, LLC CurrentSince May 1, 2025 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Nov 1, 2020 Accepting new patients
Virginia Hospital Center Physician Group, LLC Current Accepting new patients
Upmc Western Maryland Corporation CurrentSince Jul 1, 2020 Accepting new patients
Upmc Western Maryland Corporation Current Accepting new patients
Arising Behavioral Health and Services LLC Psychiatry CurrentSince Feb 1, 2023 Accepting new patients
Virginia Hospital Center Physician Group LLC CurrentSince Mar 31, 2025 Accepting new patients
Arising Behavioral Health and Services LLC Psychiatry Current Accepting new patients
Upmc Western Maryland Corporation Psychiatry CurrentSince Jul 1, 2020 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Jun 22, 2025 Accepting new patients
Mbi Health Services LLC CurrentSince Jun 3, 2022 Accepting new patients
Elevate Health Solutions, LLC CurrentSince May 1, 2025 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Nov 1, 2020 Accepting new patients
Columbia Associates in Psychiatry PC Psychiatry CurrentSince Oct 2, 2023 Accepting new patients
Mary Washington Healthcare Physicians CurrentSince Jun 22, 2025 Accepting new patients
Virginia Hospital Center Physician Group LLC CurrentSince Mar 31, 2025 Accepting new patients
Upmc Western Maryland Health Services, LLC Past Accepting new patients

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

  • Direct secure messaging: 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.

View all 17

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.