Individual provider Active NPI

Haroon Imran Hameed, M.D.

  • Pain Medicine Physician
  • Reston, VA
National Provider Identifier
1891836656
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
0101253515 Issued in VA
Practice address
1801 Robert Fulton Dr Ste 140
Reston, VA 20191-4347
Phone
(202) 600-6124
NPI assigned
Feb 12, 2007
Last updated
Oct 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 0101253515 VA
Surgery Physician 208600000X D63269 MD
Pain Medicine Physician 208VP0000X 0101253515 VA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101253515VAMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: haroon.hameed.1@11679.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1891836656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 ROBERT FULTON DR STE 140",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201914347",
            "telephone_number": "202-600-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 ROBERT FULTON DR STE 140",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201914347",
            "telephone_number": "202-600-6124"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Sallitt Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Stevensville",
            "state": "MD",
            "postal_code": "216662154",
            "country_code": "US",
            "telephone_number": "855-527-7246",
            "fax_number": "866-229-5063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5601 Loch Raven Blvd",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212392991",
            "country_code": "US",
            "telephone_number": "410-532-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMEED",
        "first_name": "HAROON",
        "middle_name": "IMRAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "VA",
            "license": "0101253515",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D63269",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "VA",
            "license": "0101253515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.