Individual provider Active NPI

Dhoha Abdulmoneam Alhashim, PA-C

  • Physician Assistant
  • Burtonsville, MD
National Provider Identifier
1982367454
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0008173 Issued in MD
Practice address
15646 Old Columbia Pike
Burtonsville, MD 20866
Phone
(301) 421-1214
NPI assigned
Oct 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 027001 NY
Physician Assistant 363A00000X 0110-007994 VA
Physician Assistant 363A00000X C0008173 MD Primary

Addresses

Primary practice location

15646 Old Columbia Pike
Burtonsville, MD 20866

Mailing address

15646 Old Columbia Pike
Burtonsville, MD 20866-1630
Phone (301) 421-1214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20220224001877 MD Practitioner - Physician Assistant 2163816760
I20220310000395 DC Practitioner - Physician Assistant 2163816760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Crescent Urgent Health Care Services, LLCGroup PAC ID 5890843023, 12 clinicians

Practice addresses (Care Compare)

10540 Connecticut Ave
Kensington, MD 20895-2426
Phone (301) 949-0030

13428 New Hampshire Ave
Silver Spring, MD 20904-1264
Phone (301) 384-5010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
027001NYMDMassage Therapist
C0008173MDMDPhysician Assistant
0110-007994VAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: dhoha.alhashim.1@33224.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1982367454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15646 OLD COLUMBIA PIKE",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208661630",
            "telephone_number": "301-421-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15646 OLD COLUMBIA PIKE",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "20866",
            "telephone_number": "301-421-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALHASHIM",
        "first_name": "DHOHA",
        "middle_name": "ABDULMONEAM",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "027001",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-007994",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0008173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burtonsville, MD

Sources for this page

Verify at the official NPI Registry.