Active NPI
Fuad Issa, MD
- Psychiatry Physician
- McLean, VA
National Provider Identifier
1801952262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101045871
- Practice address
- 6842 Elm St 103
McLean, VA 22101-3844 - Phone
- (703) 795-5541
- NPI assigned
- Dec 29, 2006
- Last updated
- Oct 22, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0101045871 | VA | Primary |
Addresses
Primary practice location
6842 Elm St 103
McLean, VA 22101-3844
Mailing address
6842 Elm St 103
McLean, VA 22101-3844
Phone (703) 795-5541
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007110791 | Medicaid | VA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101045871 | VA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445472000000",
"number": "1801952262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6842 ELM ST 103",
"city": "MCLEAN",
"state": "VA",
"postal_code": "221013844",
"telephone_number": "703-795-5541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6842 ELM ST 103",
"city": "MCLEAN",
"state": "VA",
"postal_code": "221013844",
"telephone_number": "703-795-5541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISSA",
"first_name": "FUAD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2015-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101045871",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007110791",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.