Engleside - Medicare Primary Care in Alexandria, VA

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Engleside is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Alexandria, Virginia. The current practice location for Engleside is 8637 Engleside Office Park, Alexandria, Virginia. For appointments, you can reach them via phone at (703) 535-5568. The mailing address for Engleside is Po Box 4320, Glen Allen, Virginia and phone number is (703) 535-5568.

Engleside is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1154674026. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (703) 535-5568.

Contact Information

Engleside
8637 Engleside Office Park
Alexandria
VA 22309-4132
(703) 535-5568
(703) 535-1583

Map and Direction


Primary Care Clinic Profile

Full NameEngleside
SpecialityClinic/Center
Location8637 Engleside Office Park, Alexandria, Virginia
Authorized Official Name and PositionBasim Kahn (CEO)
Authorized Official Contact7035355568
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Engleside
Po Box 4320
Glen Allen
VA 23058-4320

Ph: (703) 535-5568		Engleside
8637 Engleside Office Park
Alexandria
VA 22309-4132

Ph: (703) 535-5568

NPI Details:

NPI Number1154674026
Provider Enumeration Date10/17/2012
Last Update Date05/13/2015

Medicare PECOS Information:

Medicare PECOS PAC ID7517853419
Medicare Enrollment IDO20040707000325

Medical Identifiers

Medical identifiers for Engleside such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154674026NPI-NPPES
1164620027MedicaidVA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Engleside acts as a billing entity for following providers:
Provider NameMartha Welman
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1316925977
PECOS PAC ID: 6709863889
Enrollment ID: I20040707000212
Provider NameJohn Charles Reed
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1205932910
PECOS PAC ID: 8921063868
Enrollment ID: I20041119000873
Provider NamePaula Rocha Hayes
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922018761
PECOS PAC ID: 6305801440
Enrollment ID: I20041130000841
Provider NameDodd A. Sims
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1124006788
PECOS PAC ID: 7214968676
Enrollment ID: I20050825000241
Provider NameElise Barbara Morris
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1396789848
PECOS PAC ID: 6204860364
Enrollment ID: I20050919001097
Provider NameColin St Patrick Walters
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1538263199
PECOS PAC ID: 4880580786
Enrollment ID: I20051110000790
Provider NamePilar G Tam
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1356329916
PECOS PAC ID: 5890796536
Enrollment ID: I20070124000319
Provider NameDaniel B Holtan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093862864
PECOS PAC ID: 9638266489
Enrollment ID: I20071026000237
Provider NameLillian M Vagnoni
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1760672562
PECOS PAC ID: 6800977141
Enrollment ID: I20080114000066
Provider NamePoornima Chandra
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1558543017
PECOS PAC ID: 1355311796
Enrollment ID: I20081029000242
Provider NameClarissa Marie Dudley
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1225204464
PECOS PAC ID: 5395804900
Enrollment ID: I20081111000271
Provider NameCorry A Chapman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477712255
PECOS PAC ID: 2567529688
Enrollment ID: I20090317000320
Provider NameAnjuli Jindal
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1043493372
PECOS PAC ID: 2668522111
Enrollment ID: I20090604000276
Provider NameCourtney Riggle-van Schagen
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1316188568
PECOS PAC ID: 3779635529
Enrollment ID: I20090709000148
Provider NamePaul B Kaplowitz
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1417038035
PECOS PAC ID: 3678610649
Enrollment ID: I20091023000134
Provider NameEdda M Varona
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306881230
PECOS PAC ID: 8224178066
Enrollment ID: I20091229000585
Provider NameForouzandeh F Mofid-woo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1760458616
PECOS PAC ID: 8628060829
Enrollment ID: I20100127000343
Provider NameSharmila K Matippa
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1710198494
PECOS PAC ID: 8921141656
Enrollment ID: I20100203000725
Provider NameLalitha S Rambhala
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1063568061
PECOS PAC ID: 8628104312
Enrollment ID: I20100406000188
Provider NameCarmella Ann Cole
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1922057314
PECOS PAC ID: 0143357830
Enrollment ID: I20100429000275
Provider NameRebecca A Stone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356408561
PECOS PAC ID: 9436275450
Enrollment ID: I20100928000708
Provider NameJennifer Machell Sims
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417088386
PECOS PAC ID: 1355481706
Enrollment ID: I20110408000607
Provider NameBasim N Khan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1477880045
PECOS PAC ID: 3577723931
Enrollment ID: I20120322000550
Provider NameJacqueline Elise Pokusa
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1104178094
PECOS PAC ID: 1951539048
Enrollment ID: I20140117000670
Provider NameJulia Lynn Skapik
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1386800431
PECOS PAC ID: 8921286451
Enrollment ID: I20140911001651
Provider NameChristine Marie Page-lopez
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1932498532
PECOS PAC ID: 7911127642
Enrollment ID: I20141001001536
Provider NameRuhi H Lakhani
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871998625
PECOS PAC ID: 3173846078
Enrollment ID: I20141230000482
Provider NameSusana Melissa Vega
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1578805727
PECOS PAC ID: 6608199260
Enrollment ID: I20150107000132
Provider NameJose Antonio Segura
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1265699169
PECOS PAC ID: 9931428935
Enrollment ID: I20150424000415
Provider NameShannon Mcwilliams
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1821234733
PECOS PAC ID: 0345551941
Enrollment ID: I20150624000424
Provider NameJacqueline V Zamora
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598147522
PECOS PAC ID: 0446565840
Enrollment ID: I20150813011667
Provider NameEkta Srikumar
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1669600862
PECOS PAC ID: 6305151408
Enrollment ID: I20150819006921
Provider NameMariama Boie Jalloh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164805529
PECOS PAC ID: 7416266911
Enrollment ID: I20160115000505
Provider NameLesley Elizabeth Magnussen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538479225
PECOS PAC ID: 5193960151
Enrollment ID: I20160906000407
Provider NameJewel B Osborne-wu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003175589
PECOS PAC ID: 6305069865
Enrollment ID: I20161005000162
Provider NameManasi Pandit Long
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1821432097
PECOS PAC ID: 9234420506
Enrollment ID: I20161114000872
Provider NameLisa M Gittleman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982670303
PECOS PAC ID: 5597046599
Enrollment ID: I20170109001135
Provider NameColette Thorpe Knudsen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639406317
PECOS PAC ID: 9436282654
Enrollment ID: I20171116001515
Provider NameAlma C Tobar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598277139
PECOS PAC ID: 3870853625
Enrollment ID: I20180216000374
Provider NameThomas E Burns
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1558416552
PECOS PAC ID: 6406017599
Enrollment ID: I20180315000127
Provider NameAmanjot Kaur
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1114283348
PECOS PAC ID: 2062641012
Enrollment ID: I20180508001897
Provider NameTabassum Shamim
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1538185616
PECOS PAC ID: 1850345802
Enrollment ID: I20180517001535
Provider NameZain Jalal Sultan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073033031
PECOS PAC ID: 9133498389
Enrollment ID: I20180926000266
Provider NameNatasha Singh
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1962898700
PECOS PAC ID: 7113227174
Enrollment ID: I20190107002886
Provider NameMegan Lear Prior
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1649664194
PECOS PAC ID: 1557673449
Enrollment ID: I20190507001365
Provider NameJanessa Rose Six
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578029781
PECOS PAC ID: 3476895749
Enrollment ID: I20190507001785
Provider NameSarah Renee Chapman
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1386296374
PECOS PAC ID: 8426386301
Enrollment ID: I20190830000754
Provider NameCathy Ann Gallagher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679633952
PECOS PAC ID: 3779814124
Enrollment ID: I20191016000670
Provider NameShantanu Nundy
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1891950606
PECOS PAC ID: 2961673256
Enrollment ID: I20191125000385
Provider NameFernando Luis Ortiz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1255318010
PECOS PAC ID: 5294167680
Enrollment ID: I20191125001126
Provider NameWhitney Alyse Osborn
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1578932331
PECOS PAC ID: 8729410113
Enrollment ID: I20191125001206
Provider NameGiorgos Hadjivassiliou
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1215342621
PECOS PAC ID: 7618194713
Enrollment ID: I20191126000868
Provider NameCynthia Ivette Lopez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669848438
PECOS PAC ID: 2567762628
Enrollment ID: I20191204002448
Provider NameElizabeth Eunbee Suh
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1497188155
PECOS PAC ID: 7012208879
Enrollment ID: I20191205000026
Provider NameMaria Yolanda Giraldo Jimenez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518301779
PECOS PAC ID: 3971938929
Enrollment ID: I20200121001504
Provider NameErin Elizabeth Wisman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1770845315
PECOS PAC ID: 1557599743
Enrollment ID: I20200123000614
Provider NameCamarita Bih Titang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437798873
PECOS PAC ID: 0446688105
Enrollment ID: I20200312001317
Provider NameRubina Michael Dolvane
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1144433590
PECOS PAC ID: 8325476484
Enrollment ID: I20200324001164
Provider NameErin Latrice Palmer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154708204
PECOS PAC ID: 5193052561
Enrollment ID: I20200418000467
Provider NameCindy Sue Anderson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1407057631
PECOS PAC ID: 8224189220
Enrollment ID: I20200615000333
Provider NamePrathima Polepalli Setty
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1861435117
PECOS PAC ID: 6901840164
Enrollment ID: I20200622000155
Provider NameCarolina M Saldarriaga Perez
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1235659228
PECOS PAC ID: 0840618534
Enrollment ID: I20200911002071
Provider NameKarleny I. Beltran Alvarado
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881229870
PECOS PAC ID: 8325466964
Enrollment ID: I20200915001044
Provider NameDanielle Grams Engskow
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972037315
PECOS PAC ID: 8921428103
Enrollment ID: I20201009001945
Provider NameNorma Mowaffak Chamma
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1457880759
PECOS PAC ID: 2466872536
Enrollment ID: I20201013000085
Provider NameSarah B Frantz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992314868
PECOS PAC ID: 2062827710
Enrollment ID: I20210211000160
Provider NameJoelle L Gelmann
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679947675
PECOS PAC ID: 8820403439
Enrollment ID: I20210211003531
Provider NameSophie Presny
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316544588
PECOS PAC ID: 2769897065
Enrollment ID: I20210218002580
Provider NameJessica Frances Porzel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245708288
PECOS PAC ID: 0547675548
Enrollment ID: I20210225002456
Provider NameAlissa L Wong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356948079
PECOS PAC ID: 5193133023
Enrollment ID: I20210414001498
Provider NameCalla E Michalak
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902484751
PECOS PAC ID: 4082014063
Enrollment ID: I20210614000116
Provider NameAisha Sesay
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841876000
PECOS PAC ID: 6305246265
Enrollment ID: I20210615000007
Provider NameEduardo Jesus Mariel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053355461
PECOS PAC ID: 0042269433
Enrollment ID: I20210831001448
Provider NameLisa Ann Wiener
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942367990
PECOS PAC ID: 3476682055
Enrollment ID: I20211217001207
Provider NameShannon Jihye Hwang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659913143
PECOS PAC ID: 4183018401
Enrollment ID: I20220303000630
Provider NameTimothy Leroy Marshall
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275645376
PECOS PAC ID: 2860412350
Enrollment ID: I20220310000047
Provider NameCrinela Fica Todea
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568685097
PECOS PAC ID: 6709801178
Enrollment ID: I20220712000623
Provider NameBethsy Daverman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1982164497
PECOS PAC ID: 8022346279
Enrollment ID: I20220921003718
Provider NameMolly Fonseca
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891369757
PECOS PAC ID: 2264822840
Enrollment ID: I20220926000305
Provider NameAlexandra Laughlin Nalewanski
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1962061630
PECOS PAC ID: 8426434648
Enrollment ID: I20220926001719
Provider NameMonica Gupta
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356801807
PECOS PAC ID: 9234515909
Enrollment ID: I20221004000299
Provider NameMariya Abbas Mohammed
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1770046401
PECOS PAC ID: 9830566801
Enrollment ID: I20221103001778
Provider NameJoann Ordaz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013388537
PECOS PAC ID: 0941226617
Enrollment ID: I20230115000018
Provider NameNatalie Lourdes Lima-garcia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669105151
PECOS PAC ID: 1456722107
Enrollment ID: I20230117002904
Provider NameJennifer Alexis Horton
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1881695054
PECOS PAC ID: 1153301965
Enrollment ID: I20230214001556
Provider NameJohn Raymond Brinjak
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1699335851
PECOS PAC ID: 7517292352
Enrollment ID: I20230524000030
Provider NameSara Mae Steward
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164051470
PECOS PAC ID: 4385064674
Enrollment ID: I20230524000041
Provider NameLuis Felipe Cebas
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1962973784
PECOS PAC ID: 3779941174
Enrollment ID: I20230616000753
Provider NameDavid James Killeen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1568925659
PECOS PAC ID: 0446588164
Enrollment ID: I20231111000332
Provider NameElissa Delong
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073924486
PECOS PAC ID: 2365717568
Enrollment ID: I20240212001559
Provider NameJames Gavin Wallace-mercado
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023744406
PECOS PAC ID: 0941643365
Enrollment ID: I20240213000950
Provider NameCamilla Monika Maybee
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1548885494
PECOS PAC ID: 7517381106
Enrollment ID: I20240213002218

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.