Individual provider Active NPI

Rabelle Siddiki, FNP-BC

  • Family Nurse Practitioner
  • Reston, VA
National Provider Identifier
1912764846
Registry record updated Jul 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024189561 Issued in VA
Practice address
1939 Roland Clarke PL Ste 200
Reston, VA 20191-1445
Phone
(703) 435-3366
NPI assigned
Mar 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024189561 VA Primary

Addresses

Primary practice location

1939 Roland Clarke PL Ste 200
Reston, VA 20191-1445

Mailing address

1939 Roland Clarke PL Ste 200
Reston, VA 20191-1445
Phone (703) 435-3366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240626001510 DC Practitioner - Nurse Practitioner 5799229266 Reassigns benefits to 1 organization
I20240920003140 VA Practitioner - Nurse Practitioner 5799229266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Associates of Northern Virginia, LLCGroup PAC ID 1759371008, 98 clinicians

Practice addresses (Care Compare)

1939 Roland Clarke PL
Suite 200
Reston, VA 20191-1445
Phone (703) 766-2650

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024189561VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of Northern Virginia, LLC CurrentSince Jul 1, 2024 Accepting new patients
Old Dominion Anesthesia LLC Past Accepting new patients

Locations

9500 S Dadeland Blvd
Ste 200
Miami, FL 33156
Phone (786) 530-3820

3022 Williams Dr
Ste 301
Fairfax, VA 22031
Phone (703) 698-1775

1939 Roland Clarke Pl
Ste 200
Reston, VA 20191
Phone (703) 435-3366

24570 Medical Dr
Sterling, VA 20166
Phone (571) 367-4400

Interoperability endpoints

  • Direct secure messaging: rabelle.siddiki@gastrohealth.eclinicaldirectplus.com

Organizations & group practices 2

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

Hospital & facility affiliations 3

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": "1709683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751673600000",
    "number": "1912764846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 ROLAND CLARKE PL STE 200",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201911445",
            "telephone_number": "703-435-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 ROLAND CLARKE PL STE 200",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201911445",
            "telephone_number": "703-435-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDDIKI",
        "first_name": "RABELLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-06",
        "last_updated": "2025-07-05",
        "certification_date": "2025-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024189561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.