NPIMap

Organization Active NPI

Geriatrics Group of Northern Virginia,Inc.

  • Geriatric Medicine (Internal Medicine) Physician
  • Arlington, VA
National Provider Identifier
1922105477
Registry record updated Feb 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
010234864 Issued in VA
Legal business name
GERIATRICS GROUP OF NORTHERN VIRGINIA,INC.
Practice address
611 S. Carlin Springs Road
Suit # 514
Arlington, VA 22204-1064
Phone
(571) 527-0932
Fax
(571) 527-0824
NPI assigned
Sep 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2011

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

Authorized official

Name
Muhammad A. Ali, M.D.NPI 1568575074
Title
President
Phone
(703) 338-9526

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X 010234864 VA Primary

Addresses

Primary practice location

611 S. Carlin Springs Road
Suit # 514
Arlington, VA 22204-1064

Mailing address

5720 Merton Court
# 371
Alexandria, VA 22311-5956
Phone (571) 527-0932

Other identifiers 3

IdentifierTypeStateIssuer
11448304OtherVACAQH #
9127105MedicaidVA
010205875MedicaidVA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1922105477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 MERTON COURT",
            "address_2": "# 371",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223115956",
            "telephone_number": "571-527-0932",
            "fax_number": "571-527-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S. CARLIN SPRINGS ROAD",
            "address_2": "SUIT # 514",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222041064",
            "telephone_number": "571-527-0932",
            "fax_number": "571-527-0824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRICS GROUP OF NORTHERN VIRGINIA,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-338-9526",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "VA",
            "license": "010234864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH #",
            "identifier": "11448304",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9127105",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010205875",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.