Organization Active NPI

Muhammad Ali, PC

  • Cardiovascular Disease Physician
  • Annandale, VA
National Provider Identifier
1922445766
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
1320366 Issued in VA
Legal business name
MUHAMMAD ALI, PC
Practice address
6715 Little River Tpke
#304
Annandale, VA 22003-3546
Phone
(703) 998-0766
Fax
(703) 931-3562
NPI assigned
Jun 3, 2013
Last updated
Jun 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Authorized official

Name
Karin Bedoya
Title
Medical Assistant
Phone
(703) 998-0766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 1320366 VA Primary

Addresses

Primary practice location

6715 Little River Tpke
#304
Annandale, VA 22003-3546

Mailing address

6715 Little River Tpke
#304
Annandale, VA 22003-3546
Phone (703) 998-0766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130605000293 DC Part B Supplier - Clinic/Group Practice 0547408437 Receives reassigned benefits from 1 practitioner
Practice locations: Annandale, VA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D0224215Muhammad Ali MD6715 Little River Turnpike #304, Annandale, VA 22003Certificate of waiverAug 21, 2026

National Provider Directory

National Provider Directory

Locations

6715 Little River Tpke
Ste 304
Annandale, VA 22003
Phone (703) 998-0766

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1922445766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 LITTLE RIVER TPKE",
            "address_2": "#304",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033546",
            "telephone_number": "703-998-0766",
            "fax_number": "703-931-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 LITTLE RIVER TPKE",
            "address_2": "#304",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033546",
            "telephone_number": "703-998-0766",
            "fax_number": "703-931-3562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUHAMMAD ALI, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "BEDOYA",
        "authorized_official_first_name": "KARIN",
        "authorized_official_title_or_position": "MEDICAL ASSISTANT",
        "authorized_official_telephone_number": "703-998-0766"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "1320366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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.