Ibrahim Iftoni

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024180632 Issued in VA

Practice address

3535 Covered Bridge LN
Woodbridge, VA 22192-6413

Phone

(571) 208-4816

NPI assigned

Feb 15, 2021

Last updated

Feb 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Connections Healthva LLCGroup PAC ID 5991241986, 19 clinicians

Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ibrahim.iftoni.1@8042.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.

• Connections Healthva, LLC

  dba Connections Health Solutions

  • Psychiatric Residential Treatment Facility
  • Woodbridge, VA
  • NPI 1316673841
  Medicare reassignment Care Compare group NPD
• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  DC

  Medicare reassignment Care Compare group NPD
• Connections Healthva, LLC

  • Psychiatric Residential Treatment Facility
  • Chantilly, VA
  • NPI 1306524285

  DC

  Medicare reassignment NPD
• Supportive Care of Virginia LLC

  • Clinical Psychologist
  • Colonial Heights, VA
  • NPI 1801485354

  DC

  Medicare reassignment NPD
• Thrive Counseling LLC

  dba Thriveworks

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300

  DC

  Medicare reassignment NPD
• Breaking Silos in Medicine LLC

  • Community/Behavioral Health Agency
  • Washington, DC
  • NPI 1720831142
  Medicare reassignment NPD
• Pinnacle Healthcare Services, LLC

  dba Pinnacle Healthcare Group, LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Rockville, MD
  • NPI 1316551237

  DC

  Medicare reassignment NPD
• Supportive Care of Maryland LLC

  • Psychologist
  • Riverdale, MD
  • NPI 1447802616

  DC

  Medicare reassignment NPD
• Connections Healthva, LLC

  • Community/Behavioral Health Agency
  • Woodbridge, VA
  • NPI 1932882800
  NPD
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1730772369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 COVERED BRIDGE LN",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221926413",
            "telephone_number": "571-208-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 COVERED BRIDGE LN",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221926413",
            "telephone_number": "571-208-4816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IFTONI",
        "first_name": "IBRAHIM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024180632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Lindsay Iams, RPH
• Dena Ibrahim, PHARMD
• Ideal Endodontics of Woodbridge PLLC
• Ideal Wellness, PLLC
• Richard Iden
• Joan Ignacio
• Ruth Ilboudo, LCSW
• Imago Dei Support Services. LLC
• Impact Dental Care Woodbridge, PLLC
• Improved Dynamics ABA of VA

• Psychiatric/Mental Health Nurse Practitioner in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.