Active NPI
Salma Shamusul Haque, M.D.
- Internal Medicine Physician
- Falls Church, VA
National Provider Identifier
1821265059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101244331
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0101244331 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Virginia Holistic Primary Care | Internal Medicine | Current | 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
- 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.
-
- Internal Medicine Physician
- Falls Church, VA
- NPI 1578160198
-
dba Crosspointe Urgent Care & Family Clinic
- Internal Medicine Physician
- Fairfax Station, VA
- NPI 1790810547
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.