Individual provider Active NPI

Mubasher Fazal, MD

  • Hospitalist Physician
  • Fredericksburg, VA
National Provider Identifier
1740275551
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
0101243795 Issued in VA
Practice address
1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone
(540) 741-4350
NPI assigned
Sep 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) Physician 207QS1201X D0068524 MD
Sleep Medicine (Family Medicine) Physician 207QS1201X MD067859L PA
Family Medicine Physician 207Q00000X D0068524 MD
Sleep Medicine (Internal Medicine) Physician 207RS0012X D0068524 MD
Sleep Medicine (Family Medicine) Physician 207QS1201X 0101243795 VA
Hospitalist Physician 208M00000X 0101243795 VA Primary

Addresses

Primary practice location

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453

Mailing address

1340 Central Park Blvd Ste 100
Fredericksburg, VA 22401-4940
Phone (540) 741-1041

Other practice location 1

3763 Fettler Park Dr
Dumfries, VA 22025-1946
Phone (703) 853-6372

Other practice location 2

2500 W 12th St Ste C
Erie, PA 16505-4500
Phone (814) 877-8730

Other identifiers 3

IdentifierTypeStateIssuer
1740275551MedicaidVA
196357OtherVAMEDICARE DC/FAIRFAX
A175OtherVAMEDICARE VA OTHER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mfazal704469@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, MD3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20081114000549 VA Practitioner - HospitalistPractitioner - Family PracticePractitioner - Sleep MedicinePractitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 8628178621 Reassigns benefits to 6 organizations
I20110119001053 DC Practitioner - Sleep MedicinePractitioner - Family PracticePractitioner - Other (Physician) 8628178621 Reassigns benefits to 1 organization
I20181030002035 MD Practitioner - Sleep Medicine 8628178621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mary Washington Healthcare Providers LLCGroup PAC ID 1456629369, 264 clinicians
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

1001 Sam Perry Blvd
Fredericksburg, VA 22401-4453
Phone (540) 741-5610

3763 Fettler Park Dr
Dumfries, VA 22025-1946
Phone (571) 931-6012

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0068524MDMDSleep Medicine (Family Medicine) Physician
MD067859LPAMDSleep Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Siesta Health Services PC Sleep Medicine CurrentSince May 4, 2025 Accepting new patients
Southeastern Intensivist Services PC Hospitalist CurrentSince Dec 16, 2025 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Apr 10, 2022 Accepting new patients
Adfinitas Health at Fauquier, LLC Hospitalist CurrentSince Jul 10, 2019 Accepting new patients
Mary Washington Healthcare Providers LLC Hospitalist CurrentSince Feb 13, 2026 Accepting new patients
Best Health Services PC Sleep Medicine CurrentSince Apr 30, 2003 Accepting new patients
Nova Physician Wellness Center PLLC Family Medicine Past Accepting new patients

Locations

8333 Cherry Ln
Laurel, MD 20707
Phone (301) 801-4626

13938 Baltimore Ave
Ste 3B
Laurel, MD 20707
Phone (571) 285-2982

501 Sunset Ln
Culpeper, VA 22701
Phone (540) 829-4100

3763 Fettler Park Dr
Dumfries, VA 22025
Phone (571) 931-6012

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

1340 Central Park Blvd
Ste 100
Fredericksburg, VA 22401

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

500 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5000

3985 Prince William Pkwy
Ste 106
Woodbridge, VA 22192
Phone (703) 910-7653

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mfazal704469@direct.novanthealth.org
  • Direct secure messaging: mubasher.fazal.2@8042.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 7

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1740275551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 CENTRAL PARK BLVD STE 100",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014940",
            "telephone_number": "540-741-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SAM PERRY BLVD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014453",
            "telephone_number": "540-741-4350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3763 Fettler Park Dr",
            "address_purpose": "LOCATION",
            "city": "Dumfries",
            "state": "VA",
            "postal_code": "220251946",
            "country_code": "US",
            "telephone_number": "703-853-6372",
            "fax_number": "866-324-3957",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 W 12th St Ste C",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165054500",
            "country_code": "US",
            "telephone_number": "814-877-8730",
            "fax_number": "814-877-8731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAZAL",
        "first_name": "MUBASHER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "MD",
            "license": "D0068524",
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "PA",
            "license": "MD067859L",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0068524",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "MD",
            "license": "D0068524",
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "VA",
            "license": "0101243795",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101243795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740275551",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DC/FAIRFAX",
            "identifier": "196357",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE VA OTHER",
            "identifier": "A175",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mfazal704469@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "3700 Fettler Park",
            "address_2": "Dumfries Health Center",
            "city": "Dumfries",
            "state": "VA",
            "country_code": "US",
            "postal_code": "22025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.