Individual provider Active NPI

Ali Alrasheed Ibrahim Awadallah, MD

  • Internal Medicine Physician
  • Dulles, VA
National Provider Identifier
1962196261
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4351051258 Issued in VA
Practice address
24440 Stone Springs Blvd
Dulles, VA 20166-2247
Phone
(973) 216-1489
NPI assigned
Jun 8, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4351051258 VA Primary

Addresses

Primary practice location

24440 Stone Springs Blvd
Dulles, VA 20166-2247

Mailing address

25320 Whippoorwill Ter
South Riding, VA 20152-6685
Phone (973) 216-1489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260603000484 VA Practitioner - Emergency Medicine 3870951544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4351051258MIMDInternal Medicine Physician

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.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Associates P.a., P.C. 706 clinicians

Practice addresses (Care Compare)

24440 Stone Springs Blvd
Dulles, VA 20166-2247
Phone (240) 686-2300

NPI Registry JSON

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1962196261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25320 WHIPPOORWILL TER",
            "city": "SOUTH RIDING",
            "state": "VA",
            "postal_code": "201526685",
            "telephone_number": "973-216-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24440 STONE SPRINGS BLVD",
            "city": "DULLES",
            "state": "VA",
            "postal_code": "201662247",
            "telephone_number": "973-216-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AWADALLAH",
        "first_name": "ALI",
        "middle_name": "ALRASHEED IBRAHIM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-08",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "4351051258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dulles, VA

Sources for this page

Verify at the official NPI Registry.