Valley Health Clinic Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

VALLEY HEALTH CLINIC INC

Practice address

8609 Sudley Rd
Suite 105
Manassas, VA 20110-4500

Phone

(703) 393-8883

Fax

(703) 686-4240

NPI assigned

Dec 4, 2006

Last updated

Feb 3, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abdullah Al FarooqueNPI 1467409961

Title

President

Phone

(703) 393-8883

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3238/brand/1/csg/1/fhir/r4

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Abdullah Al Farooque, M.D

  • Internal Medicine Physician
  • Manassas, VA
  • NPI 1467409961
  Medicare reassignment Care Compare group NPD Authorized official
• Abhay Vivek Aggroia, M.D.

  • Internal Medicine Physician
  • Manassas, VA
  • NPI 1770842908
  Medicare reassignment Care Compare group NPD
• Joseph Rosana, O.D

  • Optometrist
  • Manassas, VA
  • NPI 1336248319
  Medicare reassignment Care Compare group
• Ezra M Morgan, M.D.

  • Family Medicine Physician
  • Falls Church, VA
  • NPI 1770557183
  Care Compare group
• Andres Alisuag Jr., M.D.

  • Cardiovascular Disease Physician
  • Manassas, VA
  • NPI 1417064759
  NPD (past)
• Fareeha I Khan, MD

  • Specialist
  • Vienna, VA
  • NPI 1609879303
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580688000000",
    "number": "1912065863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201670027",
            "telephone_number": "703-393-8883",
            "fax_number": "703-686-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8609 SUDLEY RD",
            "address_2": "SUITE 105",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104500",
            "telephone_number": "703-393-8883",
            "fax_number": "703-686-4240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46169 Westlake Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "VA",
            "postal_code": "201655875",
            "country_code": "US",
            "telephone_number": "703-393-8883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VALLEY HEALTH CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A",
        "authorized_official_last_name": "FAROOQUE",
        "authorized_official_first_name": "ABDULLAH",
        "authorized_official_middle_name": "AL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-393-8883"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101227765",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912065863",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005867568",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Uva Prince William Medical Center (UVA Health Haymarket Medical Center)
• Gayatri Vaddadi, MD
• Melinda M Vaikasiene, PT
• Gino Oscar Valdivieso, D.D.S.
• Michelle Eloisa Valle
• Valley Primary & Behavioral Health Clinic LLC
• Katherine Valliere, LPC
• Arunan Vamadevan, M.D.
• Jaime Ann Young Van Echo, CCC-SLP
• Melissa Van Fossen

• Primary Care Clinic/Center in Manassas, VA
• Providers in Manassas, VA by specialty
• Primary Care Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.