Individual provider Active NPI

Faisal Awadalla Awadelkarim, M.D.

  • Psychiatry Physician
  • Fairfax, VA
National Provider Identifier
1750498598
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101231485 Issued in VA
Practice address
10520 Judicial Dr
Fairfax, VA 22030-5115
Phone
(703) 246-4599
Fax
(703) 383-9638
NPI assigned
Aug 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101231485 VA Primary

Addresses

Primary practice location

10520 Judicial Dr
Fairfax, VA 22030-5115

Mailing address

10102 Eastlake Dr
Fairfax, VA 22032-2732
Phone (571) 274-7127

Other identifiers 1

IdentifierTypeStateIssuer
0101231485OtherVASTATE MEDICAL BARD LICENC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fairfax County, Virginia PastSince May 11, 2009 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: faisal.awadelkarim.1@22159.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750498598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10102 EASTLAKE DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220322732",
            "telephone_number": "571-274-7127",
            "fax_number": "703-383-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10520 JUDICIAL DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305115",
            "telephone_number": "703-246-4599",
            "fax_number": "703-383-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWADELKARIM",
        "first_name": "FAISAL",
        "middle_name": "AWADALLA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101231485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL BARD LICENC",
            "identifier": "0101231485",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.