Individual provider Active NPI

Salma Shamusul Haque, M.D.

  • Internal Medicine Physician
  • Falls Church, VA
National Provider Identifier
1821265059
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101244331 Issued in VA
Practice address
300 N Washington St Ste 304F
Falls Church, VA 22046-3441
Phone
(703) 646-9195
NPI assigned
May 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 0101244331 VA Primary

Addresses

Primary practice location

300 N Washington St Ste 304F
Falls Church, VA 22046-3441

Mailing address

300 N Washington St Ste 304F
Falls Church, VA 22046-3441
Phone (703) 646-9195

Other practice location 1

3263 Columbia Pike
Arlington, VA 22204-4351
Phone (703) 746-0111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shaque153618@soc.inova.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 20, 2024 through May 20, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101244331VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Virginia Holistic Primary Care Internal Medicine CurrentSince May 19, 2024 Accepting new patients
Ignaz P Jarbadan MD PC Internal Medicine Past Accepting new patients

Locations

300 N Washington St
Ste 304F
Falls Church, VA 22046
Phone (571) 520-4249

Interoperability endpoints

  • Direct secure messaging: shaque153618@soc.inova.org

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": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1821265059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N WASHINGTON ST STE 304F",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463441",
            "telephone_number": "703-646-9195",
            "fax_number": "703-746-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N WASHINGTON ST STE 304F",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463441",
            "telephone_number": "703-646-9195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3263 Columbia Pike",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222044351",
            "country_code": "US",
            "telephone_number": "703-746-0111",
            "fax_number": "703-746-6388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAQUE",
        "first_name": "SALMA",
        "middle_name": "SHAMUSUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2023-11-27",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101244331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shaque153618@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3263 Columbia Pike",
            "city": "Arlington",
            "state": "VA",
            "country_code": "US",
            "postal_code": "222044351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.