Noor Wais Wali

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024178895 Issued in VA

Practice address

1636 Belle View Blvd
Alexandria, VA 22307-6531

Phone

(866) 389-2727

NPI assigned

Feb 12, 2020

Last updated

Aug 3, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Manbir Takhar PCGroup PAC ID 0749206951, 41 clinicians

Tru Health Group PCGroup PAC ID 6406216183, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: noor.wali.1@20907.direct.athenahealth.com

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.

• Manbir Takhar, P.C.

  dba Tru Primary Care

  • Primary Care Clinic/Center
  • Germantown, MD
  • NPI 1457322505

  DC, VA

  Medicare reassignment Care Compare group NPD
• Tru Health Group, PC

  • Urgent Care Clinic/Center
  • Germantown, MD
  • NPI 1194471946

  DC, VA

  Medicare reassignment Care Compare group NPD
• Minuteclinic Diagnostic of Virginia LLC

  • Family Nurse Practitioner
  • Leesburg, VA
  • NPI 1417076829

  DC

  Medicare reassignment NPD
• Medical Access P.C.

  dba Tru Urgent Care DMV

  • Urgent Care Clinic/Center
  • Germantown, MD
  • NPI 1144291204

  DC, VA

  Medicare reassignment NPD
• Expert Care Homehealth LLC

  dba Expert Care Homehealth

  • Home Health Agency
  • Dumfries, VA
  • NPI 1124732359
  NPD Authorized official

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1710510243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1452 CHAIN BRIDGE RD",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013706",
            "telephone_number": "703-356-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 BELLE VIEW BLVD",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223076531",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALI",
        "first_name": "NOOR",
        "middle_name": "WAIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-12",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #17684)
• Walgreen Co (Walgreens #10616)
• Walgreen Co (Walgreens #10233)
• Walgreen Co (Walgreens #17217)
• Walgreen Co (Rite Aid #4623)
• Omer M Wali, MD
• Sofiya Wali
• Christine Walk, FNP-C
• Ellen Walker
• Janet Tate Walker, LPC

• Family Nurse Practitioner in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.

Verify at the official NPI Registry.