NPIMap

Individual provider Active NPI

Yasir Abdul-Rahman, D.O

  • Family Medicine Physician
  • Gainesville, VA
National Provider Identifier
1891146189
Registry record updated Oct 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102206134 Issued in VA
Practice address
13575 Heathcote Blvd Ste 210
Gainesville, VA 20155-6698
Phone
(571) 248-4620
Fax
(571) 248-4374
NPI assigned
Jun 28, 2016
Last updated
Oct 31, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102206134 VA Primary

Addresses

Primary practice location

13575 Heathcote Blvd Ste 210
Gainesville, VA 20155-6698

Mailing address

13575 Heathcote Blvd Ste 210
Gainesville, VA 20155-6698
Phone (571) 248-4620

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address yabdulrahman703443@soc.inova.org Health Information Exchange (HIE) Inova Physician Partners, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20201118001263 VA Practitioner - Family Practice 6709297054 Reassigns benefits to 1 organization
I20260303001210 DC Practitioner - Family Practice 6709297054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Physician Partners LLCGroup PAC ID 2466581772, 258 clinicians

Practice addresses (Care Compare)

13575 Heathcote Blvd
Suite 210
Gainesville, VA 20155-6698
Phone (571) 248-4620

6845 Elm St
Suite 710
MC Lean, VA 22101-3851
Phone (703) 848-8500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.98 of 100Reported as apm
Quality
87.97
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102206134VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Physician Partners, LLC Family Medicine CurrentSince Oct 5, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Inova Physician Partners, Inc. - Specialists Past Accepting new patients

Locations

13575 Heathcote Blvd
Ste 210
Gainesville, VA 20155
Phone (571) 248-4620

6845 Elm St
Ste 710
McLean, VA 22101
Phone (703) 734-8383

740 E Main St
Purcellville, VA 20132
Phone (540) 338-4995

Interoperability endpoints

  • Direct secure messaging: yabdulrahman703443@soc.inova.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635638400000",
    "number": "1891146189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13575 HEATHCOTE BLVD STE 210",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201556698",
            "telephone_number": "571-248-4620",
            "fax_number": "571-248-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13575 HEATHCOTE BLVD STE 210",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201556698",
            "telephone_number": "571-248-4620",
            "fax_number": "571-248-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDUL-RAHMAN",
        "first_name": "YASIR",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-28",
        "last_updated": "2021-10-31",
        "certification_date": "2021-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102206134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yabdulrahman703443@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Physician Partners, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "13575 Heathcote Blvd Ste 210",
            "city": "Gainesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201556698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, VA

Sources for this page

Verify at the official NPI Registry.