Individual provider Active NPI

Hassan Shahin, M.D.

  • Nephrology Physician
  • Alexandria, VA
National Provider Identifier
1770537870
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0101235884 Issued in VA
Practice address
4141 Duke St
Alexandria, VA 22304-2415
Phone
(703) 461-3556
Fax
(703) 461-8075
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 0101235884 VA Primary

Addresses

Primary practice location

4141 Duke St
Alexandria, VA 22304-2415

Mailing address

4915 Auburn Ave
Suite 200
Bethesda, MD 20814-2636
Phone (301) 907-3939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040604000666 VA Practitioner - NephrologyPractitioner - Internal Medicine 4587654256 Reassigns benefits to 1 organization
I20040610001104 DC Practitioner - NephrologyPractitioner - Internal Medicine 4587654256 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101235884VAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Nephrology Associates, L.L.P. Nephrology CurrentSince May 15, 2004 Accepting new patients
Northern Virginia Neurology, PLLC PastSince Oct 1, 2017 Accepting new patients
Mwrdc of Annapolis Nephrology Past Accepting new patients

Locations

4915 Auburn Ave
Ste 200
Bethesda, MD 20814
Phone (301) 907-3939

4141A Duke St
Alexandria, VA 22304
Phone (703) 461-3556

8101 Hinson Farm Rd
Ste 217
Alexandria, VA 22306
Phone (703) 780-1150

2030 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 490-9080

1910 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 490-9080

Interoperability endpoints

  • Direct secure messaging: hshahin17156@direct.acumenmd.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 and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Nephrology Associates LLP 31 clinicians

Practice addresses (Care Compare)

2030 Opitz Blvd
Woodbridge, VA 22191-3306
Phone (703) 490-9080

4141 A Duke St
Alexandria, VA 22304-2415
Phone (703) 461-3556

Hospital & facility affiliations

  • FMC - Potomac Mills Dialysis facility, Woodbridge, VA, CCN 492596
  • Sentara Northern Virginia Medical Center Hospital, Woodbridge, VA, CCN 490113
  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040
  • Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1770537870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 AUBURN AVE",
            "address_2": "SUITE 200",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142636",
            "telephone_number": "301-907-3939",
            "fax_number": "301-656-3943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 DUKE ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223042415",
            "telephone_number": "703-461-3556",
            "fax_number": "703-461-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHIN",
        "first_name": "HASSAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101235884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.