Active NPI
Raqeeb Haque, MD
- Neurological Surgery Physician
- Leesburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 0101256777
- Practice address
- 44055 Riverside Pkwy Ste 220
Leesburg, VA 20176-5177 - Phone
- (571) 472-4100
- Fax
- (571) 472-4101
- NPI assigned
- Nov 5, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 28163 | NE | |
| Neurological Surgery Physician | 207T00000X | 0101256777 | VA | Primary |
Addresses
Primary practice location
44055 Riverside Pkwy Ste 220
Leesburg, VA 20176-5177
Mailing address
PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699
Other practice location 1
44045 Riverside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6000
Other practice location 2
2 W 42nd St Ste 2100
Scottsbluff, NE 69361-4660
Phone (202) 505-1172
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28163 | NE | MD | Neurological Surgery Physician |
| 0101256777 | VA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Neurological Surgery | Current | Accepting new patients |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Neurological Surgery | Current | Accepting new patients |
| Inova Health Care Services | Current | Accepting new patients |
Locations
1500 N Beauregard St
Ste 300
Alexandria, VA 22311
Phone (703) 845-1500
3800 Fettler Park Dr
Ste 312
Dumfries, VA 22025
Phone (571) 472-6791
8081 Innovation Park Dr
Ste 900
Fairfax, VA 22031
Phone (571) 472-4200
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
44055 Riverside Pkwy
Ste 220
Leesburg, VA 20176
Phone (703) 858-3060
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040
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.
-
- Internal Medicine Physician
- Falls Church, VA
- NPI 1952320061
DC, Neurological Surgery
-
dba Inova Juniper Program
- Multi-Specialty Clinic/Center
- Fairfax, VA
- NPI 1669511051
-
dba Inova Blood Donor Services
- Medical Technologist
- Sterling, VA
- NPI 1699655589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1851545875",
"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": "44055 RIVERSIDE PKWY STE 220",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201765177",
"telephone_number": "571-472-4100",
"fax_number": "571-472-4101"
}
],
"practiceLocations": [
{
"address_1": "44045 Riverside Pkwy",
"address_purpose": "LOCATION",
"city": "Leesburg",
"state": "VA",
"postal_code": "201765101",
"country_code": "US",
"telephone_number": "703-858-6000",
"fax_number": "703-858-6900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 W 42nd St Ste 2100",
"address_purpose": "LOCATION",
"city": "Scottsbluff",
"state": "NE",
"postal_code": "693614660",
"country_code": "US",
"telephone_number": "202-505-1172",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAQUE",
"first_name": "RAQEEB",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-05",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NE",
"license": "28163",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "VA",
"license": "0101256777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.