Kevin Thomas Harley (NPI# 1194924100, PAC ID# 6800969825) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1194924100 |
| PAC ID by PECOS | 6800969825 |
| Professional Enrollment ID | I20180727001383 |
| Full Name | Kevin Thomas Harley |
| Organization Legal Name | NEPHROLOGY ASSOCIATES OF NORTHERN VIRGINIA INC |
| Address |
8405 Dorsey Cir Suite 102 Manassas VA 20110-8304 |
| Phone Number | 7039610488 |
| Gender | M |
| Medical School | NEW YORK MEDICAL COLLEGE |
| Graduation Year | 2005 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 4587566138 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490063 | INOVA FAIRFAX HOSPITAL |
| 490043 | INOVA LOUDOUN HOSPITAL |
| 490107 | RESTON HOSPITAL CENTER |
| 490101 | INOVA FAIR OAKS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 13135 Lee Jackson Hwy, Suite 135, Fairfax, VA 22033-1907 | 7034761740 | NEPHROLOGY ASSOCIATES OF NORTHERN VIRGINIA INC |
| 8405 Dorsey Cir, Suite 102, Manassas, VA 20110-8304 | 7039610488 | NEPHROLOGY ASSOCIATES OF NORTHERN VIRGINIA INC |
| Organization Legal Name | NEPHROLOGY ASSOCIATES OF NORTHERN VIRGINIA INC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ali Reza Assefi | Nephrology | Nephrology Associates of Northern Virginia Inc | 46396 Benedict Dr, Suite 220, Sterling, VA 20164-6626 |
| David Lucas Mahoney | Nephrology | Nephrology Associates of Northern Virginia Inc | 280 Hatcher Ave, Purcellville, VA 20132 |
| Jenny J Nazzal | Nephrology | Nephrology Associates of Northern Virginia Inc | 13135 Lee Jackson Hwy, Suite 135, Fairfax, VA 22033-1907 |
| Kourosh Dibadj | Nephrology | Nephrology Associates of Northern Virginia Inc | 13135 Lee Jackson Hwy, Suite 135, Fairfax, VA 22033-1907 |
| Franco Musio | Nephrology | Nephrology Associates of Northern Virginia Inc | 8501 Arlington Blvd, Suite 100, Fairfax, VA 22031-4625 |
| Mustafa Saidi | Internal Medicine | Nephrology Associates of Northern Virginia Inc | 8405 Dorsey Cir, Suite 102, Manassas, VA 20110-8304 |
| Ahmadshah Mirkhel | Nephrology | Nephrology Associates of Northern Virginia Inc | 8501 Arlington Blvd, Suite 100, Fairfax, VA 22031-4625 |
| Gregory S Wang | Nephrology | Nephrology Associates of Northern Virginia Inc | 8405 Dorsey Cir, Suite 102, Manassas, VA 20110-8304 |
| Robert Carey Mackow | Nephrology | Nephrology Associates of Northern Virginia Inc | 8501 Arlington Blvd, Suite 100, Fairfax, VA 22031-4625 |
| Misbah Zaheer | Nephrology | Nephrology Associates of Northern Virginia Inc | 13135 Lee Jackson Hwy, Suite 135, Fairfax, VA 22033-1907 |
| Street Address |
8405 DORSEY CIR SUITE 102 |
| City | MANASSAS |
| State | VA |
| Zip | 20110-8304 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mustafa Saidi | Internal Medicine | Nephrology Associates of Northern Virginia Inc | 8405 Dorsey Cir, Suite 102, Manassas, VA 20110-8304 |
| Gregory S Wang | Nephrology | Nephrology Associates of Northern Virginia Inc | 8405 Dorsey Cir, Suite 102, Manassas, VA 20110-8304 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Syamala K Naroji | Obstetrics/gynecology | 8071 Digges Rd, Manassas, VA 20110 | |
| Eugene H Kim | Nephrology | Kidney and Hypertension Specialists, Pllc | 9378 Forestwood Lane E, Manassas, VA 20110 |
| Rashida K Rahman | Nephrology | Kidney and Hypertension Specialists, Pllc | 9378 Forestwood Lane E, Manassas, VA 20110 |
| Jay J Lee | Optometry | 9405 Liberia Ave, Manassas, VA 20110-1718 | |
| Sofia Naz Ahmad | Optometry | Advanced Ophthalmology,inc | 9161 Liberia Ave, Suite 405, Manassas, VA 20110-1723 |
| Babur B Lateef | Ophthalmology | Advanced Ophthalmology,inc | 9161 Liberia Ave, Suite 405, Manassas, VA 20110-1723 |
| Lisa H Kerrigan | Physical Therapy | Advantage Physical Therapy and Rehabilitation LLC | 9161 Liberia Ave, Suite 205, Manassas, VA 20110-1725 |
| Salma Chakhachirou | Optometry | Manassas Optometry, LLC | 9675 Liberia Ave, Suite 220, Manassas, VA 20110-1741 |
| Rosemary Clara Nzeogu | Nurse Practitioner | Greater Prince William Area Community Health Center Inc | 9705 Liberia Ave, Suite 201, Manassas, VA 20110-1744 |
| Jennifer Leigh Folks | Nurse Practitioner | Greater Prince William Area Community Health Center Inc | 9705 Liberia Ave, Suite 201, Manassas, VA 20110-1744 |
| Find all physicians in zip 20110 | |||
| City | MANASSAS |
| Zip Code | 20110 |
| Specialty | NEPHROLOGY |
| City + Specialty | MANASSAS + NEPHROLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.