Active NPI
Rabelle Siddiki, FNP-BC
- Family Nurse Practitioner
- Reston, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0024189561
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0024189561 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastroenterology Associates of Northern Virginia, LLC | Current | 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
- 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.
-
- Gastroenterology Physician
- Fairfax, VA
- NPI 1205884368
DC
-
- Anesthesiology Physician
- Charlottesville, VA
- NPI 1902248677
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inova Loudoun Hospital
- Psychiatric Hospital Unit
- Leesburg, VA
- NPI 1285786228
-
dba Inova Loudoun Hospital
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
-
dba Reston Hospital Center
- General Acute Care Hospital
- Reston, VA
- NPI 1053363853
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
- Padma Kant Shukla, MD FACP FACC
- Sima Shukla, M.D.
- Shabnam Shukrullah, PHYSICIAN ASSISTANT
- Diana Shustarovich, MD
- Elizabeth Hamilton Sibert, PA-C
- Andrew Jay Siegel, M.D.
- Robert K. Sigal, M.D.
- Mary Rhea Silva, LPC
- Silver Lining Assistance, Inc. (Home Helpers - Direct Link)
- Chiara Simeone-Difrancesco, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.