NPIMap

Individual provider Active NPI

Gulrukh Saleem, M.D.

  • Rheumatology Physician
  • Leesburg, VA
National Provider Identifier
1750376562
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
0101232354 Issued in VA
Practice address
19465 Deerfield Ave Ste 309
Leesburg, VA 20176-1705
Phone
(703) 723-3398
Fax
(703) 723-9128
NPI assigned
Sep 19, 2005
Last updated
Feb 11, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X D0068304 MD
Rheumatology Physician 207RR0500X 0101232354 VA Primary

Addresses

Primary practice location

19465 Deerfield Ave Ste 309
Leesburg, VA 20176-1705

Mailing address

PO Box 17334
Baltimore, MD 21297-1334
Phone (703) 443-6717

Other identifiers 1

IdentifierTypeStateIssuer
1750376562MedicaidVA

Other names 1

  • Gulrukh Syed Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051121000170 VA Practitioner - RheumatologyPractitioner - Internal Medicine 2163441098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Loudoun Rheumatology Center, PCGroup PAC ID 9931122280, 2 clinicians

Practice addresses (Care Compare)

19500 Sandridge Way
Suite 170
Lansdowne, VA 20176-3692
Phone (703) 723-3398

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0068304MDMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Loudoun Rheumatology Center, PC Rheumatology CurrentSince Oct 1, 2022 Accepting new patients
Gulrukh Saleem Inc Rheumatology PastSince Oct 1, 2006 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

19465 Deerfield Ave
Ste 309
Leesburg, VA 20176
Phone (703) 723-3398

19500 Sandridge Way
Ste 170
Leesburg, VA 20176
Phone (703) 723-3398

205 Hirst Rd
Ste 304
Purcellville, VA 20132
Phone (703) 723-3398

Interoperability endpoints

  • Direct secure messaging: gulrukh.saleem.1@1800.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 8

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": "1423612800000",
    "number": "1750376562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17334",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212971334",
            "telephone_number": "703-443-6717",
            "fax_number": "703-443-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19465 DEERFIELD AVE STE 309",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201761705",
            "telephone_number": "703-723-3398",
            "fax_number": "703-723-9128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEEM",
        "first_name": "GULRUKH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-19",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MD",
            "license": "D0068304",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "VA",
            "license": "0101232354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750376562",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GULRUKH",
            "last_name": "SYED",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.