Active NPI
Mubasher Fazal, MD
- Hospitalist Physician
- Fredericksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 0101243795
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740275551 | Medicaid | VA | |
| 196357 | Other | VA | MEDICARE DC/FAIRFAX |
| A175 | Other | VA | MEDICARE VA OTHER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mfazal704469@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| D0068524 | MD | MD | Sleep Medicine (Family Medicine) Physician |
| MD067859L | PA | MD | Sleep Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siesta Health Services PC | Sleep Medicine | Current | Accepting new patients |
| Southeastern Intensivist Services PC | Hospitalist | Current | Accepting new patients |
| Uva Community Health Medical Group, LLC | Current | Accepting new patients | |
| Adfinitas Health at Fauquier, LLC | Hospitalist | Current | Accepting new patients |
| Mary Washington Healthcare Providers LLC | Hospitalist | Current | Accepting new patients |
| Best Health Services PC | Sleep Medicine | Current | 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
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- mfazal704469@direct.novanthealth.org
- 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.
-
- Hospitalist Physician
- Fredericksburg, VA
- NPI 1750826277
-
- Hospitalist Physician
- Warrenton, VA
- NPI 1225558109
-
- Sleep Medicine (Family Medicine) Physician
- Dumfries, VA
- NPI 1194510115
-
dba best health sleep center
- Sleep Medicine (Family Medicine) Physician
- Dumfries, VA
- NPI 1518279116
-
- Multi-Specialty Clinic/Center
- Charlottesville, VA
- NPI 1598475741
-
dba UVA Health Obstetrics and Gynecology Haymarket
- Obstetrics & Gynecology Physician
- Haymarket, VA
- NPI 1790188597
-
- Family Medicine Physician
- Fairfax, VA
- NPI 1215307400
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inova Alexandria Hospital
- General Acute Care Hospital
- Alexandria, VA
- NPI 1255684460
-
dba Inova Fairfax Hospital
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
dba Inova Fairfax Hospital
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
-
- General Acute Care Hospital
- Fredericksburg, VA
- NPI 1942288527
-
dba Mary Washington Cardiology
- Cardiovascular Disease Physician
- Fredericksburg, VA
- NPI 1013089879
Hospital
-
dba Mary Washington Home Health Agency
- Home Health Agency
- Fredericksburg, VA
- NPI 1407814163
Hospital
-
dba Stafford Hospital
- General Acute Care Hospital
- Stafford, VA
- NPI 1043343304
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.