Raushan Abdula, M.D.
Individual provider Active NPI Cardiovascular Disease Physician · Fredericksburg, VA
NPI 1720206212 · NPPES record last updated May 2, 2017
Key facts
- NPI
- 1720206212
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 0101250434 (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
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 11
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Oracle Heart and Vascular Inc
Practice addresses (Care Compare)
1011 Care Way
Suite 200
Fredericksburg, VA 22401-8439
Phone 85573999535027
Hospital & facility affiliations
- Mary Washington Hospital
- Stafford Hospital, LLC
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 106 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111004000159 | DC | Practitioner - Cardiovascular Disease (Cardiology) | 0840486874 | Reassigns benefits to 1 organization |
| I20111018000058 | VA | Practitioner - Cardiovascular Disease (Cardiology) |
0840486874 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Washington Hospital Inc. | Current |
Accepting new patients | |
| Stafford Hospital, LLC | Cardiovascular Disease | Current |
Accepting new patients |
| Mary Washington Hospital, Inc. | Cardiovascular Disease | Current |
Accepting new patients |
| Inova Health Care Services | Current |
Accepting new patients | |
| Inova Health Care Services | Current |
Accepting new patients | |
| Stafford Hospital, LLC | Current |
Accepting new patients | |
| Oracle Heart & Vascular, Inc. | Cardiovascular Disease | Current |
Accepting new patients |
| Pathology Associates of Fredericksburg PTR | Current | Accepting new patients | |
| Warrenton Heart Center LLC | Past | Accepting new patients | |
| Alexander Shaknovich, M.D., P.C. | Cardiovascular Disease | Past | Accepting new patients |
| Park Slope Medical Service PC | Cardiovascular Disease | 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
1201 Sam Perry Blvd
Ste 205
Fredericksburg, VA 22401
Phone (540) 374-3290
1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100
421 Park Hill Dr
Fredericksburg, VA 22401
Phone (540) 371-8250
1011 Care Way
Ste 200
Fredericksburg, VA 22401
Phone (540) 373-4900
15521 Real Estate Ave
Ste 200
King George, VA 22485
Phone (540) 663-3139
15521 Real Estate Ave
King George, VA 22485
Phone (540) 289-2273
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 307
Stafford, VA 22554
Phone (540) 657-6367
125 Hospital Center Blvd
Ste 329
Stafford, VA 22554
Phone (540) 374-3290
125 Hospital Center Blvd
Ste 200
Stafford, VA 22554
Phone (540) 657-6135
559 Frost Ave
Ste 102
Warrenton, VA 20186
Phone (540) 341-7530
4004 Genesee Pl
Ste 105
Woodbridge, VA 22192
Phone (855) 739-9995
2280 Opitz Blvd
Ste 310
Woodbridge, VA 22191
Phone (703) 523-1680
Interoperability endpoints
- raushan.abdula@ohv.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/DFHEAD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 0101250434 | VA | Yes |
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
Other providers in Fredericksburg, VA
- Arielle Rose Abbate
- Abc Pediatrics, LLC
- Ramy Abdelfattah
- Rehab Abdin
- Maryam Abdrabbo
- Mohammed Abdulateef
- Fatimah Abdullah
- Shaad Essa Abedin
- Kimberly A Abeyta
- Abilaimah
All providers in Fredericksburg, VA · Cardiovascular Disease Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.