Samim Enayat · Endocrinology, Diabetes & Metabolism Physician

8081 Innovation Park Dr Ste 301, Fairfax, VA 22031-4867

Overview

Samim Enayat is a Endocrinology, Diabetes & Metabolism Physician practicing in Fairfax, Virginia. The National Provider Identifier (NPI) is #1700053824, which was assigned on May 8, 2008, and the registration record was last updated on January 10, 2022. The practitioner's main practice location is at 8081 Innovation Park Dr Ste 301, Fairfax, VA 22031-4867; the contact telephone number is 8775114625, and the fax number is 5716656877. The primary taxonomy of Samim Enayat is Endocrinology, Diabetes & Metabolism Physician (207RE0101X), with specialization in Endocrinology, Diabetes & Metabolism. Samim Enayat is licensed to practice in the state of Virginia (#0101250139), Virginia (#0101250139).

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Provider Information

NPI 1700053824
Entity Type Individual
Provider Name SAMIM ENAYAT
Gender Male
Credential MD
Practice Address 8081 Innovation Park Dr Ste 301
Fairfax
VA 22031-4867
Practice Telephone 8775114625
Practice Fax Number 5716656877
Mailing Address Po Box 37174
Baltimore
MD 21297-3174
Mailing Telephone 5714235699
Mailing Fax Number 5714235698
Certification Date 2022-01-10
Enumeration Date 2008-05-08
Last Update Date 2022-01-10
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 3779756713
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name SAMIM ENAYAT
Medical School UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Primary Specialty ENDOCRINOLOGY
Organization Legal Name CASTLE MEDICAL CENTER
Address 642 Ulukahiki St
Suite 103
Kailua
HI 96734-4418

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N207R00000XInternal Medicine0101250139VA
Y207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism0101250139VA

Secondary Practice Locations

AddressTelephoneFax
10105 Banburry Cross Dr Ste 130, Las Vegas, NV 891446158790587
10105 Banburry Cross Dr Ste 130, Las Vegas, NV 891446158790587 ext.
3300 Gallows Rd, Falls Church, VA 22042330770377640017037767113
3300 Gallows Rd, Falls Church, VA 2204233077037764001 ext. 7037767113

Taxonomy Information

Primary Taxonomy

Code 207RE0101X
Taxonomy Endocrinology, Diabetes & Metabolism Physician
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism
Grouping Allopathic & Osteopathic Physicians
Definition: An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Other Taxonomy

Code 207R00000X
Taxonomy Internal Medicine Physician
Classification Internal Medicine
Grouping Allopathic & Osteopathic Physicians
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Holbrook Healthcare LLC 485 E 500 S, Bountiful, UT 84010-3801Endocrinology, Diabetes & Metabolism Physician2024-04-01
Rachel Steinman Md PLLC 69 Pondfield Rd Unit 1f-2a, Bronxville, NY 10708-3815Endocrinology, Diabetes & Metabolism Physician2024-02-22
Chiricahua Community Health Centers, Inc. 335 S Ocotillo Ave, Benson, AZ 85602-6406Endocrinology, Diabetes & Metabolism Physician2024-04-04
Optumcare Colorado Medical Group LLC · New West Physicians Specialty Center 1536 Cole Blvd Ste 4-250, Lakewood, CO 80401-3413Endocrinology, Diabetes & Metabolism Physician2024-02-29
Optumcare Colorado Medical Group LLC · New West Physicians South Specialty 630 Plaza Dr Ste 110, Highlands Ranch, CO 80129-2750Endocrinology, Diabetes & Metabolism Physician2024-02-29
Bright Endocrinology PLLC 33747 N Scottsdale Rd Ste 135, Scottsdale, AZ 85266-1566Endocrinology, Diabetes & Metabolism Physician2024-03-26
East Side Endocrine PLLC 103 E 75th St, New York, NY 10021-2805Endocrinology, Diabetes & Metabolism Physician2024-03-15
Id&wm LLC 1324 Se 17th St, Fort Lauderdale, FL 33316-1708Endocrinology, Diabetes & Metabolism Physician2024-03-25
Healthy You Endocrinology and Weight Loss LLC 900 Haddon Ave # 400-9, Collingswood, NJ 08108-2101Endocrinology, Diabetes & Metabolism Physician2024-03-18
Privia Medical Group, LLC 7501 Greenway Center Dr Ste 730, Greenbelt, MD 20770-3545Endocrinology, Diabetes & Metabolism Physician2024-01-31
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Location Information

Street Address 8081 INNOVATION PARK DR STE 301
City FAIRFAX
State VA
Zip Code 22031-4867
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Nwamaka Obiageli Obi 8081 Innovation Park Dr Ste 301, Fairfax, VA 22031-4867Obstetrics & Gynecology Physician2008-04-29
Ali Ahmed Siddiqui 8081 Innovation Park Dr Ste 301, Fairfax, VA 22031-4867Gastroenterology Physician2006-06-20
Jean Al Donet Mostacero 8081 Innovation Park Dr Ste 301, Fairfax, VA 22031-4867Gastroenterology Physician2012-06-24
Lisa Romeo Hanback 8081 Innovation Park Dr Ste 301, Fairfax, VA 22031-4867Family Nurse Practitioner2022-06-30
Dana Michelle Block-Abraham 8081 Innovation Park Dr Ste 301, Fairfax, VA 22031-4867Obstetrics & Gynecology Physician2008-04-24
Evis H. Hudson 8081 Innovation Park Dr Ste 301, Fairfax, VA 22031-4867Internal Medicine Physician2013-11-25
Lisa D. Sandy 8081 Innovation Park Dr Ste 301, Fairfax, VA 22031-4867Nurse Practitioner2021-01-12
Assaad M Soweid 8081 Innovation Park Dr Ste 301, Fairfax, VA 22031-4867Gastroenterology Physician2021-06-08
Barbara M. Nies 8081 Innovation Park Dr Ste 301, Fairfax, VA 22031-4867Specialist2006-09-27
Kimberly Ann Kinney 8081 Innovation Park Dr Ste 301, Fairfax, VA 22031-4867Family Nurse Practitioner2021-01-13
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Leandra S Armstead 8081 Innovation Park Dr # 900, Fairfax, VA 22031-4867Nurse Practitioner2018-12-17
Inova Reston Mri Center LLC · Fairfax Pet Ct Imaging Center 8081 Innovation Park Dr Ste 204, Fairfax, VA 22031-4867Radiology Clinic/Center2009-10-15
Inova Health Care Services · Inova Retail and Specialty Pharmacy 8081 Innovation Park Dr Fl 2, Fairfax, VA 22031-4867Community/Retail Pharmacy2019-02-28
Cecilia Rea Garcia 8081 Innovation Park Dr Ste 700, Fairfax, VA 22031-4867Family Nurse Practitioner2021-07-07
Kayleen Elizabeth Lynch 8081 Innovation Park Dr Ste 900, Fairfax, VA 22031-4867Physician Assistant2021-01-20
Ashley Perel 8081 Innovation Park Dr Ste 775, Fairfax, VA 22031-4867Family Nurse Practitioner2023-10-04
Amanda L Thompson 8081 Innovation Park Dr Ste 2201, Fairfax, VA 22031-4867Clinical Child & Adolescent Psychologist2009-08-09
Kelly Dobies 8081 Innovation Park Dr # 500, Fairfax, VA 22031-4867Nurse Practitioner2023-03-09
Odyzza Jane Centro 8081 Innovation Park Dr Ste 500, Fairfax, VA 22031-4867Physician Assistant2021-11-28
Jessica Watts 8081 Innovation Park Dr # 700, Fairfax, VA 22031-4867Family Nurse Practitioner2022-08-02
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Joanne Barbara Towers 3025 Hamaker Court Suite 300, Fairfax, VA 22031Physician Assistant2018-09-01
Lauryn Mann 9675 Main Street, Suite A and B, Fairfax, VA 22031Clinical Social Worker2022-09-01
Valerie Zecca 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031Speech-Language Pathologist2019-08-19
Labmd3, Inc. 2670 D Avenir Place, Fairfax, VA 22031Clinical Medical Laboratory2022-07-19
Andrew Lane Primmer 8280 Willow Oaks Corporate Dr, Ste 641, Fairfax, VA 22031Surgical Assistant2024-03-22
Amy O'Masta 8270 Willow Oaks Corporate Drive, Suite 700, Fairfax, VA 22031Athletic Trainer2023-08-31
Elevate Health, LLC 9512b Lee Highway, Fairfax, VA 22031Psychiatry Physician2023-06-16
Asma Arara 2980 District Ave Apt 312, Fairfax, VA 22031Dentist2021-10-03
Iris Wellness Clinic, LLC 9667 Main St., Suite B, Fairfax, VA 22031Acupuncturist2023-08-14
Diane Martin 8081 Innovation Park Dr. 5th Floor, Fairfax, VA 22031Ambulatory Care Registered Nurse2023-08-14
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Provider NameAddressTaxonomyEnumeration Date
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Enayat Shahidifar 1001 Covington St, Youngstown, OH 44510-1617Internal Medicine Physician2023-03-22
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Samim Taraji 1211 Dolphin Ct, Waukesha, WI 53186-1488Orthodontics and Dentofacial Orthopedic Dentist2018-07-13
Mir Samim Ahmad Ansary 2081 Bronze Star Dr, Woodland, CA 95776-5423Physician Assistant2008-08-19

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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.