Individual provider Active NPI

Muhanad Al Jassar, MD

  • Internal Medicine Physician
  • Virginia Beach, VA
National Provider Identifier
1790783884
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101237709 Issued in VA
Practice address
5486 Indian River Rd
Virginia Beach, VA 23464-5365
Phone
(757) 424-2490
NPI assigned
Jul 12, 2005
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101237709 VA Primary

Addresses

Primary practice location

5486 Indian River Rd
Virginia Beach, VA 23464-5365

Mailing address

PO Box 7068
Portsmouth, VA 23707-0068
Phone (757) 967-8622

Other practice location 1

736 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone (757) 967-8622

Other identifiers 1

IdentifierTypeStateIssuer
1790783884MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address VAExchange@patientfirstclinics.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MI, TX4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20050628000157 VA Practitioner - Internal MedicinePractitioner - Hospitalist 6002851201 Reassigns benefits to 6 organizations
I20090409000671 MI Practitioner - Internal Medicine 6002851201 Reassigns benefits to 2 organizations
I20210511001719 TX Practitioner - Internal Medicine 6002851201 Reassigns benefits to 1 organization
I20260327001442 VA Practitioner - Hospitalist 6002851201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Spring Physician Services, LLCGroup PAC ID 1254689482, 89 clinicians
Riverside Physician Services IncGroup PAC ID 5092608448, 793 clinicians

Practice addresses (Care Compare)

1900 Electric Rd
Salem, VA 24153-7474
Phone (540) 776-4000

19339 Benns Grant Blvd
Smithfield, VA 23430-6393
Phone (757) 674-8000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group, Michigan, PC Internal Medicine CurrentSince Jan 1, 2017 Accepting new patients
Degara App, PLLC CurrentSince Mar 26, 2017 Accepting new patients
Hospitalist Medicine Physicians of Fredericksburg, LLC Internal Medicine CurrentSince Apr 1, 2022 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince May 3, 2021 Accepting new patients
Bayview Physician Services, PC Internal Medicine CurrentSince Apr 1, 2017 Accepting new patients
Lake Spring Physician Services, LLC CurrentSince Apr 25, 2025 Accepting new patients
Wildwood Physician Services, LLC CurrentSince Apr 25, 2025 Accepting new patients
Bayview Physician Services, PC CurrentSince Apr 1, 2017 Accepting new patients
Hospitalist Medicine Physicians of Virginia LLC Internal Medicine CurrentSince Apr 1, 2022 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince May 3, 2021 Accepting new patients
Inpatient Medical Services, P.a. Internal Medicine Past Accepting new patients
Danville Physician Practices LLC Past Accepting new patients
Primedoc St.Francis PC Internal Medicine Past Accepting new patients
Virginia Hospitalists Inc Internal Medicine Past Accepting new patients
Pasteur Inpatient Physicians Internal Medicine Past Accepting new patients
Apogee Medical Group Virginia, PC Internal Medicine Past Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

5701 Bow Pointe Dr
Ste 120
Clarkston, MI 48346
Phone (248) 625-2273

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

3700 S Main St
Blacksburg, VA 24060
Phone (540) 951-1111

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

1001 Sam Perry Blvd
Fredericksburg, VA 22401
Phone (540) 741-1100

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 6

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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1790783884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7068",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237070068",
            "telephone_number": "757-967-8622",
            "fax_number": "757-686-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5486 INDIAN RIVER RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234645365",
            "telephone_number": "757-424-2490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "736 Battlefield Blvd N",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233204941",
            "country_code": "US",
            "telephone_number": "757-967-8622",
            "fax_number": "757-686-0541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AL JASSAR",
        "first_name": "MUHANAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101237709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790783884",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "VAExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5486 Indian River Rd",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234645365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.