DR. LEILA H ZACKRISON M.D.
NPI 1184626921
Internal Medicine - Rheumatology in Fairfax, VA

Active since August 11, 2005Opted out of Medicare · through Mar 6, 2028
3930 PENDER DR, SUITE 280, FAIRFAX, VA 22030(703) 359-9300(703) 359-7814 Get Directions Write a Review

NPPES record last updated: October 1, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Leila H Zackrison M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LEILA H ZACKRISON M.D. (NPI 1184626921) is an individual rheumatology provider in Fairfax, Virginia, licensed in Virginia (0101045689) and active in the NPI registry since August 2005. She has opted out of Medicare through March 6, 2028.

NPPES Registry Identity

NPI1184626921
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. LEILA H ZACKRISONCredential: M.D.
Location Address3930 PENDER DR, SUITE 280Fairfax, VA 22030-0985
Mailing Address3930 Pender Dr, Suite 280Fairfax, VA 22030-0985 · (703) 359-9300 · Fax (703) 359-7814
Fax(703) 359-7814
Sole ProprietorYes
Enumeration DateAugust 11, 2005
Last NPPES UpdateOctober 1, 2013
NPI 1184626921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in VA · 0101045689
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
3930 PENDER DR, Fairfax, VA 22030

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Leila H Zackrison M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 6, 2014 through March 6, 2028.

Opt-Out Effective DateMarch 6, 2014
Opt-Out In Effect ThroughMarch 6, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology (Pain Medicine)
3930 PENDER DR, SUITE 120
FAIRFAX, VA 22030
Dentist
3930 PENDER DR, SUITE #250
FAIRFAX, VA 22030
Pediatrics
3930 PENDER DR, SUITE 330
FAIRFAX, VA 22030
Clinic/Center (Dental)
3930 PENDER DR, SUITE 110
FAIRFAX, VA 22030
Obstetrics & Gynecology (Gynecology)
3930 PENDER DR, SUITE 60
FAIRFAX, VA 22030
Orthopaedic Surgery
3930 PENDER DR, SUITE 210
FAIRFAX, VA 22030
Dermatology
3930 PENDER DR, SUITE 210
FAIRFAX, VA 22030
Hearing Instrument Specialist
3930 PENDER DR, STE 140
FAIRFAX, VA 22030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leila Zackrison's NPI number?

The NPI number for Leila Zackrison is 1184626921. It was assigned to this individual provider in the NPPES registry on August 11, 2005.

Where is Leila Zackrison located?

Leila Zackrison practices at 3930 Pender Dr Suite 280, Fairfax, VA 22030. The listed phone number is (703) 359-9300.

What is Leila Zackrison's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Leila Zackrison enrolled in Medicare?

No. Leila Zackrison has opted out of Medicare through March 6, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Leila Zackrison was last updated on October 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.