Organization Active NPI

Ama Medical PLLC

Doing business as Amazon Family Medicine

  • General Practice Physician
  • Alexandria, VA
National Provider Identifier
1801115589
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
0101225821 Issued in VA
Legal business name
AMA MEDICAL PLLC
Doing business as
Amazon Family Medicine
Practice address
5501 Cherokee Ave
Suite 205
Alexandria, VA 22312-2305
Phone
(703) 635-2775
Fax
(703) 348-7492
NPI assigned
May 20, 2010
Last updated
Apr 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Authorized official

Name
Mr. Syed S Hassan, MDNPI 1255372231
Title
Owner
Phone
(703) 635-2775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 0101225821 VA Primary

Addresses

Primary practice location

5501 Cherokee Ave
Suite 205
Alexandria, VA 22312-2305

Mailing address

5501 Cherokee Ave
Suite 205
Alexandria, VA 22312-2305
Phone (703) 635-2775

Other identifiers 1

IdentifierTypeStateIssuer
1255372231MedicaidVA

Other names 1

  • AMAZON FAMILY MEDICINE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110614000756 DC Part B Supplier - Clinic/Group Practice 9436280104 Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2015656Ama Medical PLLC5501 Cherokee Avenue - Suite 205, Alexandria, VA 22312Certificate of waiverMay 25, 2027

National Provider Directory

National Provider Directory

Locations

5501 Cherokee Ave
Ste 205
Alexandria, VA 22312
Phone (703) 635-2775

17606 Main St
Ste 202
Dumfries, VA 22026

13319 Woodbridge St
Woodbridge, VA 22191
Phone (703) 499-9921

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1801115589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 CHEROKEE AVE",
            "address_2": "SUITE 205",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122305",
            "telephone_number": "703-635-2775",
            "fax_number": "703-348-7492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 CHEROKEE AVE",
            "address_2": "SUITE 205",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122305",
            "telephone_number": "703-635-2775",
            "fax_number": "703-348-7492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMA MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-20",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-635-2775",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101225821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255372231",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMAZON FAMILY MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.