Rabih Kanan Hamzeh, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101243166 Issued in VA

Practice address

1830 Town Center Dr
Suite #303
Reston, VA 20190-3292

Phone

(703) 481-5801

Fax

(703) 481-5804

NPI assigned

Jan 7, 2008

Last updated

Sep 17, 2010By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rabihhamzeh@rrh.medalliesdirect.net
• Direct secure messaging: rabihhamzeh@wnjrmc.allscriptsdirect.net

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.

• Ridgecrest Regional Hospital

  • Critical Access Hospital
  • Ridgecrest, CA
  • NPI 1447253125
  Medicare reassignment NPD
• Ridgecrest Regional Hospital

  dba Ridgecrest Regional Hospital Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Ridgecrest, CA
  • NPI 1164067971
  NPD
• Sherman Grayson Hospital LLC

  dba Wilson N. Jones Regional Medical Center

  • General Acute Care Hospital
  • Sherman, TX
  • NPI 1013957836
  NPD
• Texas Newborn Services, Inc.

  • Pediatric Cardiology Physician
  • Richardson, TX
  • NPI 1326062944
  NPD
• Children's Heart Institute

  dba Children's Heart Clinic

  • Specialist
  • Herndon, VA
  • NPI 1922058668
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284681600000",
    "number": "1730364969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19465 DEERFIELD AVE",
            "address_2": "SUITE #310",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201761701",
            "telephone_number": "703-724-4003",
            "fax_number": "703-724-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 TOWN CENTER DR",
            "address_2": "SUITE #303",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903292",
            "telephone_number": "703-481-5801",
            "fax_number": "703-481-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMZEH",
        "first_name": "RABIH",
        "middle_name": "KANAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-07",
        "last_updated": "2010-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101243166",
            "primary": true
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "VA",
            "license": "0101243166",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017059300",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730364969",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haroon Imran Hameed, M.D.
• Jeffrey M Hamilton, PA
• Jennifer Hamilton, M.D.
• Colleen Hamman, PT, DPT, ATC
• Omnia Hamroosh
• John Jaeyoung Han, DMD
• Hanger Prosthetics & Orthotics Inc (Hanger Clinic)
• Susan Hansen, PTA
• Madeleine Wilson Hao, DNP, FNP-C, PMHNP-BC
• Belinda Harber

• Specialist in Reston, VA
• Providers in Reston, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.