Active NPI
Adel S Kebaish, MD
- Orthopaedic Surgery of the Spine Physician
- Falls Church, VA
National Provider Identifier
1699859058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 040815
- Practice address
- 7787 Leesburg Pike
B
Falls Church, VA 22043-2412 - Phone
- (703) 506-4700
- Fax
- (703) 734-1172
- NPI assigned
- Oct 24, 2006
- Last updated
- Jul 23, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 040815 | VA | Primary |
Addresses
Primary practice location
7787 Leesburg Pike
B
Falls Church, VA 22043-2412
Mailing address
7787 Leesburg Pike
B
Falls Church, VA 22043-2412
Phone (703) 506-4700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6451209 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050131000307 | DC | Practitioner - Orthopedic Surgery | 8527018282 | Practice locations: Falls Church, VA |
| I20171127001636 | MD | Practitioner - Orthopedic Surgery | 8527018282 | Practice locations: Baltimore, MD |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040815 | VA | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Orthopedic Clinic and Spine Center | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Falls Church, VA
- NPI 1013360163
-
- Dentist
- Falls Church, VA
- NPI 1366876856
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406073600000",
"number": "1699859058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7787 LEESBURG PIKE",
"address_2": "B",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220432412",
"telephone_number": "703-506-4700",
"fax_number": "703-734-1172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7787 LEESBURG PIKE",
"address_2": "B",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220432412",
"telephone_number": "703-506-4700",
"fax_number": "703-734-1172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEBAISH",
"first_name": "ADEL",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2014-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "VA",
"license": "040815",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6451209",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; 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.