Individual provider Active NPI

Sahar Mohammad Sadiq

  • Medical Physician Assistant
  • Stafford, VA
National Provider Identifier
1780483172
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0110011441 Issued in VA
Practice address
882 Garrisonville Rd
Stafford, VA 22554-3907
Phone
(540) 318-6464
NPI assigned
Mar 10, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 0110011441 VA Primary

Addresses

Primary practice location

882 Garrisonville Rd
Stafford, VA 22554-3907

Mailing address

22831 SE Fir St
Black Diamond, WA 98010-5082
Phone (206) 610-9292

Other names 1

  • Sahar Mohammad Sadiq Professional name

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: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260127001845 VA Practitioner - Physician Assistant 4284111741 Reassigns benefits to 2 organizations
I20260610004780 DC Practitioner - Physician Assistant 4284111741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inova Ucc LLCGroup PAC ID 7012385040, 158 clinicians
Optimum Care LLCGroup PAC ID 4082870241, 4 clinicians

Practice addresses (Care Compare)

24801 Pinebrook Rd
Suite 110
Chantilly, VA 20152-4113
Phone (703) 722-2500

6201 Centreville Rd
Suite 200
Centreville, VA 20121-2626
Phone (571) 549-8577

882 Garrisonville Rd
Stafford, VA 22554-3907
Phone (540) 318-6464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0110011441VAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Optimum Care LLC CurrentSince Dec 1, 2025 Accepting new patients

Locations

882 Garrisonville Rd
Stafford, VA 22554
Phone (540) 318-6464

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1780483172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22831 SE FIR ST",
            "city": "BLACK DIAMOND",
            "state": "WA",
            "postal_code": "980105082",
            "telephone_number": "206-610-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "882 GARRISONVILLE RD",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225543907",
            "telephone_number": "540-318-6464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMMAD SADIQ",
        "first_name": "SAHAR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110011441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAHAR",
            "last_name": "MOHAMMAD SADIQ",
            "credential": "PA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Stafford, VA

Sources for this page

Verify at the official NPI Registry.