Individual provider Active NPI

Suraiya Kureshi Haider, MD

  • Pediatric Pulmonology Physician
  • Fairfax, VA
National Provider Identifier
1699810036
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
0101254934 Issued in VA
Practice address
2730 Prosperity Ave
Suite D
Fairfax, VA 22031-4329
Phone
(703) 226-2290
Fax
(703) 226-2428
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) Physician 207QS1201X 0101254934 VA
Pediatrics Physician 208000000X 241417 NY
Pediatrics Physician 208000000X 042-0011415 VT
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X MD429368 PA
Pediatric Pulmonology Physician 2080P0214X MD038124 DC
Pediatric Sleep Medicine Physician 2080S0012X 0101254934 VA
Pediatric Pulmonology Physician 2080P0214X 0101254934 VA Primary

Addresses

Primary practice location

2730 Prosperity Ave
Suite D
Fairfax, VA 22031-4329

Mailing address

2730 Prosperity Ave
Suite D
Fairfax, VA 22031-4329
Phone (703) 226-2290

Other names 1

  • Mrs. Suraiya Aisha Kureshi Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
241417NYMDPediatrics Physician
042-0011415VTMDPediatrics Physician
MD429368PAMDPediatric Emergency Medicine (Pediatrics) Physician
MD038124DCMDPediatric Pulmonology Physician

Interoperability endpoints

  • Direct secure messaging: shaider105116@soc.inova.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1699810036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 PROSPERITY AVE",
            "address_2": "SUITE D",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314329",
            "telephone_number": "703-226-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 PROSPERITY AVE",
            "address_2": "SUITE D",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314329",
            "telephone_number": "703-226-2290",
            "fax_number": "703-226-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIDER",
        "first_name": "SURAIYA",
        "middle_name": "KURESHI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "VA",
            "license": "0101254934",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "241417",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VT",
            "license": "042-0011415",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "PA",
            "license": "MD429368",
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "DC",
            "license": "MD038124",
            "primary": false
        },
        {
            "code": "2080S0012X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sleep Medicine",
            "state": "VA",
            "license": "0101254934",
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "VA",
            "license": "0101254934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SURAIYA",
            "last_name": "KURESHI",
            "middle_name": "AISHA",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.