Abdel Baset Al-Shaar, MD
Individual provider Active NPI Internal Medicine Physician · Springfield, VA
NPI 1740401710 · NPPES record last updated Jun 22, 2021
Key facts
- NPI
- 1740401710
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 0101245166 (VA)
- Practice address
- 6501 Loisdale CT
Springfield, VA 22150-1826 - Phone
- (703) 922-1000
- NPI assigned
- May 1, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 19
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
Practice addresses (Care Compare)
10701 Rosemary Dr
Manassas, VA 20109-7282
Phone (703) 257-3000
1221 Mercantile LN
Largo, MD 20774-5374
Phone (301) 618-5700
3000 Potomac Ave
Alexandria, VA 22305-3084
Phone (703) 721-6300
6551 Loisdale CT
Springfield, VA 22150-1828
Phone (703) 922-1000
8008 Westpark Dr
MC Lean, VA 22102-3109
Phone (703) 287-6400
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091005000297 | DC | Practitioner - Internal Medicine | 8426078114 | Reassigns benefits to 1 organization |
| I20210524000679 | VA | Practitioner - Internal Medicine | 8426078114 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5329 | AK | MD | Internal Medicine Physician |
| 0430668 | KS | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Internal Medicine | Current |
Accepting new patients |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Internal Medicine | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current |
Accepting new patients | |
| Kaiser Foundation Health Plan of the Mid Atlantic States, Inc | Current |
Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
2101 E Jefferson St
Ste 4EAST
Rockville, MD 20852
2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853
1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500
10701 Rosemary Dr
Manassas, VA 20109
Phone (703) 257-3000
14139 Potomac Mills Rd
Woodbridge, VA 22192
Phone (703) 257-3000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0430668 | KS | |
| Internal Medicine Physician | 207R00000X | 0101245166 | VA | Yes |
| Internal Medicine Physician | 207R00000X | 5329 | AK |
Addresses
Primary practice location
6501 Loisdale CT
Springfield, VA 22150-1826
Mailing address
P.O. Box 1111
Bethel, AK 99559
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD5899 | Medicaid | AK |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateway | Health Information Exchange (HIE) |
Other providers in Springfield, VA
- Patrice Renee Akins
- Yasameen L Al Chalabi
- Hadia Al Malik
- Arkann Al-Khalilee
- Joumana Al-Naji
- Alvaro Alarcon
- Ana Yanci Alas
- Marissa Lynn Albano
- Krista Alborn
- Maria Isabel Aldeguer
All providers in Springfield, VA · Internal Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.