Individual provider Active NPI

Saman Soheily, PA

  • Physician Assistant
  • Alexandria, VA
National Provider Identifier
1720485501
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3610D King St
Alexandria, VA 22302-1908
Phone
(855) 910-3278
NPI assigned
Nov 22, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

3610D King St
Alexandria, VA 22302-1908

Mailing address

3610D King St
Alexandria, VA 22302-1908

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: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221130000062 DC Practitioner - Physician Assistant 1456729169 Reassigns benefits to 1 organization
I20221130000077 MD Practitioner - Physician Assistant 1456729169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Urgent Care LLCGroup PAC ID 9335303155, 300 clinicians

Practice addresses (Care Compare)

11915 Georgia Ave
Wheaton, MD 20902-2065
Phone (301) 942-4505

1805 Columbia Rd NW
Washington, DC 20009-2001
Phone (202) 797-4960

20 University Blvd E
Silver Spring, MD 20901-2436
Phone (240) 863-2720

228 7TH St SE
Washington, DC 20003-4306
Phone (202) 698-0795

3064 Waldorf Market PL
Waldorf, MD 20603-4871
Phone (301) 932-5960

4507 Stanford St
Bethesda, MD 20815-5205
Phone (443) 302-9258

500 Charles St
La Plata, MD 20646-5931
Phone (410) 451-1800

6401 America Blvd
Hyattsville, MD 20782-2357
Phone (301) 276-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Urgent Care LLC Current Accepting new patients
Medstar Urgent Care, LLC CurrentSince Oct 1, 2022 Accepting new patients
Medstar Urgent Care LLC CurrentSince Oct 1, 2022 Accepting new patients

Locations

1805 Columbia Rd NW
Washington, DC 20009
Phone (202) 797-4950

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

3610D King St
Alexandria, VA 22302
Phone (703) 845-2815

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1416614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1720485501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610D KING ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610D KING ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223021908",
            "telephone_number": "855-910-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOHEILY",
        "first_name": "SAMAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-22",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.