Haroon Imran Hameed, M.D.
Individual provider Active NPI Pain Medicine Physician · Reston, VA
NPI 1891836656 · NPPES record last updated Oct 27, 2020
Key facts
- NPI
- 1891836656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pain Medicine Physician 208VP0000X
- License
- 0101253515 (VA)
- Practice address
- 1801 Robert Fulton Dr Ste 140
Reston, VA 20191-4347 - Phone
- (202) 600-6124
- NPI assigned
- Feb 12, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
201 Defense Hwy
Annapolis, MD 21401-7096
201 Defense Hwy
Suite 205
Annapolis, MD 21401
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101253515 | VA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heal Now Wound Care, Inc. | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Pain Care Centers of America PLLC | Pain Medicine | Current | Accepting new patients |
| Advanced Pain Management Specialists, LLC | Past | Accepting new patients | |
| Nova Advanced Pain Management PLLC | Past | Accepting new patients |
Locations
1801 Robert Fulton Dr
Ste 140
Reston, VA 20191
Phone (703) 876-9300
Interoperability endpoints
- haroon.hameed.1@11679.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 0101253515 | VA | |
| Surgery Physician | 208600000X | D63269 | MD | |
| Pain Medicine Physician | 208VP0000X | 0101253515 | VA | Yes |
Addresses
Primary practice location
1801 Robert Fulton Dr Ste 140
Reston, VA 20191-4347
Mailing address
1801 Robert Fulton Dr Ste 140
Reston, VA 20191-4347
Phone (202) 600-6124
Other practice location 1
120 Sallitt Dr Ste D
Stevensville, MD 21666-2154
Phone (855) 527-7246
Other practice location 2
5601 Loch Raven Blvd
Baltimore, MD 21239-2991
Phone (410) 532-8000
Other providers in Reston, VA
- Yasaman Haidarbaigi
- Samuel Teferra Haile
- Hubiin M Hailu
- Colin Haines
- Robert G. Hall
- Jeffrey M Hamilton
- Jennifer Hamilton
- Colleen Hamman
- Omnia Hamroosh
- Rabih Kanan Hamzeh
All providers in Reston, VA · Pain Medicine Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.