Individual provider Active NPI

Adel S Kebaish, MD

  • Orthopaedic Surgery of the Spine Physician
  • Falls Church, VA
National Provider Identifier
1699859058
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
040815 Issued in VA
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, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6451209MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
040815VAMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
National Orthopedic Clinic and Spine Center PastSince Jun 14, 2016 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.

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

Verify at the official NPI Registry.