Individual provider Active NPI

Raushan Abdula, M.D.

  • Cardiovascular Disease Physician
  • Fredericksburg, VA
National Provider Identifier
1720206212
Registry record updated May 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101250434 Issued in VA
Practice address
1201 Sam Perry Blvd # B
Suite 205
Fredericksburg, VA 22401-4490
Phone
(855) 739-9953
Fax
(888) 463-3944
NPI assigned
Apr 23, 2007
Last updated
May 2, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0101250434 VA Primary

Addresses

Primary practice location

1201 Sam Perry Blvd # B
Suite 205
Fredericksburg, VA 22401-4490

Mailing address

PO Box 3339
Fredericksburg, VA 22402-3339
Phone (855) 739-9953

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111004000159 DC Practitioner - Cardiovascular Disease (Cardiology) 0840486874 Reassigns benefits to 1 organization
I20111018000058 VA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0840486874 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oracle Heart and Vascular IncGroup PAC ID 5890926075, 21 clinicians

Practice addresses (Care Compare)

1011 Care Way
Suite 200
Fredericksburg, VA 22401-8439
Phone 85573999535027

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal106

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101250434VAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Washington Hospital, Inc. Cardiovascular Disease CurrentSince Oct 21, 2019 Accepting new patients
Pathology Associates of Fredericksburg PTR Current Accepting new patients
Stafford Hospital, LLC CurrentSince Oct 21, 2019 Accepting new patients
Inova Health Care Services CurrentSince Oct 1, 2012 Accepting new patients
Stafford Hospital, LLC Cardiovascular Disease CurrentSince Oct 21, 2019 Accepting new patients
Mary Washington Hospital Inc. CurrentSince Oct 21, 2019 Accepting new patients
Inova Health Care Services CurrentSince Oct 1, 2012 Accepting new patients
Oracle Heart & Vascular, Inc. Cardiovascular Disease CurrentSince Jul 14, 2016 Accepting new patients
Park Slope Medical Service PC Cardiovascular Disease Past Accepting new patients
Alexander Shaknovich, M.D., P.C. Cardiovascular Disease Past Accepting new patients
Warrenton Heart Center LLC Past Accepting new patients

Locations

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

7617 Little River Tpke
Ste 710
Annandale, VA 22003
Phone (703) 642-0094

8505 Arlington Blvd
Ste 350
Fairfax, VA 22031
Phone (703) 204-0355

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

1011 Care Way
Ste 200
Fredericksburg, VA 22401
Phone (540) 373-4900

1201 Sam Perry Blvd
Ste 205
Fredericksburg, VA 22401
Phone (540) 374-3290

421 Park Hill Dr
Fredericksburg, VA 22401
Phone (540) 371-8250

15521 Real Estate Ave
King George, VA 22485
Phone (540) 283-2273

15521 Real Estate Ave
Ste 200
King George, VA 22485
Phone (540) 663-3139

8100 Ashton Ave
Ste 200
Manassas, VA 20109
Phone (571) 581-1771

101 Hospital Center Blvd
Stafford, VA 22554
Phone (540) 741-3340

125 Hospital Center Blvd
Ste 200
Stafford, VA 22554
Phone (540) 374-3212

125 Hospital Center Blvd
Ste 307
Stafford, VA 22554
Phone (540) 657-6367

125 Hospital Center Blvd
Ste 329
Stafford, VA 22554
Phone (540) 374-3277

559 Frost Ave
Ste 102
Warrenton, VA 20186
Phone (540) 341-7530

2280 Opitz Blvd
Ste 310
Woodbridge, VA 22191
Phone (703) 523-1680

4004 Genesee Pl
Ste 105
Woodbridge, VA 22192
Phone (855) 739-9995

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DFHEAD
  • Direct secure messaging: raushan.abdula@ohv.eclinicaldirectplus.com

Organizations & group practices 12

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.

Hospital & facility affiliations 4

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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493683200000",
    "number": "1720206212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3339",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224023339",
            "telephone_number": "855-739-9953",
            "fax_number": "888-463-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SAM PERRY BLVD # B",
            "address_2": "SUITE 205",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014490",
            "telephone_number": "855-739-9953",
            "fax_number": "888-463-3944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDULA",
        "first_name": "RAUSHAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2017-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101250434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.