Individual provider Active NPI

Insiya H Nasrulla, MD

  • Geriatric Psychiatry Physician
  • Fairfax, VA
National Provider Identifier
1841606266
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
0101277221 Issued in VA
Practice address
8500 Executive Park Ave Ste 202
Fairfax, VA 22031-2253
Phone
(703) 852-7020
Fax
(703) 289-4612
NPI assigned
Jul 7, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 291759 NY
Student in an Organized Health Care Education/Training Program 390200000X
Geriatric Psychiatry Physician 2084P0805X 0101277221 VA Primary

Addresses

Primary practice location

8500 Executive Park Ave Ste 202
Fairfax, VA 22031-2253

Mailing address

PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699

Other practice location 1

4802 10th Avenue
Maimonides Medical Center
Brooklyn, NY 11219
Phone (347) 922-6470

Other practice location 2

8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512
Phone (703) 289-7599

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address inasrulla1121788@soc.inova.org Health Information Exchange (HIE) Inova Health Care Services

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20191003000050 DC Practitioner - Geriatric PsychiatryPractitioner - Psychiatry 9234494592 Reassigns benefits to 2 organizations
I20230516002977 VA Practitioner - Geriatric PsychiatryPractitioner - Psychiatry 9234494592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric PsychiatryAlso: Psychiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 771-2960

8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512
Phone (703) 289-7560

8505 Arlington Blvd
Fairfax, VA 22031-4630

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
WHC Emerg Phys CurrentSince Aug 26, 2019 Accepting new patients
WHC Physician Group LLC Current Accepting new patients
WHC Physician Group LLC Psychiatry CurrentSince Aug 26, 2019 Accepting new patients

Locations

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

Interoperability endpoints

  • Direct secure messaging: inasrulla1121788@soc.inova.org

Organizations & group practices 4

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": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1841606266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37174",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973174",
            "telephone_number": "571-423-5699",
            "fax_number": "571-423-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 EXECUTIVE PARK AVE STE 202",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312253",
            "telephone_number": "703-852-7020",
            "fax_number": "703-289-4612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4802 10th Avenue",
            "address_2": "Maimonides Medical Center",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11219",
            "country_code": "US",
            "telephone_number": "347-922-6470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8221 Willow Oaks Corporate Dr",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220314512",
            "country_code": "US",
            "telephone_number": "703-289-7599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASRULLA",
        "first_name": "INSIYA",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-07",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "291759",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "VA",
            "license": "0101277221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "inasrulla1121788@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Health Care Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "8221 Willow Oaks Corporate Dr",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220314512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.