Organization Active NPI

Healsmart L L C

  • Primary Care Clinic/Center
  • Fairfax, VA
National Provider Identifier
1861204232
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Selamawi Mesfin, MDNPI 1992201834
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20250501001674 DC Part B Supplier - Clinic/Group Practice 5991221061 Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, VA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.