Active NPI
Healsmart L L C
- Primary Care Clinic/Center
- Fairfax, VA
National Provider Identifier
1861204232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- HEALSMART L L C
- Practice address
- 8811 Blue Royale LN
Fairfax, VA 22031-2150 - Phone
- (240) 406-6303
- NPI assigned
- Jan 23, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Selamawi Mesfin, MD
- Title
- Owner
- Phone
- (240) 406-6303
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
8811 Blue Royale LN
Fairfax, VA 22031-2150
Mailing address
8811 Blue Royale LN
Fairfax, VA 22031-2150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6000 Stevenson Ave
Ste 104
Alexandria, VA 22304
Phone (703) 823-2400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740960000000",
"number": "1861204232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8811 BLUE ROYALE LN",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8811 BLUE ROYALE LN",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312150",
"telephone_number": "240-406-6303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALSMART L L C",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-23",
"last_updated": "2025-03-03",
"certification_date": "2025-03-03",
"status": "A",
"authorized_official_last_name": "MESFIN",
"authorized_official_first_name": "SELAMAWI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "240-406-6303",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.