KHADIJA MACAULLY
NPI 1265146229
Nurse Practitioner - Family in Reston, VA

Active since January 12, 2023PECOS EnrolledAccepts Medicare Assignment
12018 SUNRISE VALLEY DR STE 100, RESTON, VA 20191(571) 262-2261 Get Directions Write a Review

NPPES record last updated: August 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Khadija Macaully NPPES

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

KHADIJA MACAULLY (NPI 1265146229) is an individual family provider in Reston, Virginia, licensed in Virginia (0024186062) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Reston, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1265146229
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKHADIJA MACAULLY
Location Address12018 SUNRISE VALLEY DR STE 100Reston, VA 20191-3444
Mailing Address202 Marianne PlStafford, VA 22554-1621 · (571) 275-0132
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 12, 2023
Last NPPES UpdateAugust 20, 2025
NPPES CertifiedAugust 20, 2025
✔ NPI 1265146229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024186062
Also ListedRegistered NurseTaxonomy 163W00000X · License 0001220128 (VA)
12018 SUNRISE VALLEY DR STE 100, Reston, VA 20191

Secondary Practice Location 1

Location 112018 Sunrise Valley Dr Ste 100Reston, VA 20191-3444 · Phone (571) 262-2261

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Khadija Macaully is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537691696
PECOS Enrollment IDI20241014002725, I20250707001223
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Khadija Macaully reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospice and Palliative Medicine
14900 CONFERENCE CENTER DR STE 170
Chantilly, VA 20151
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 5 clinicians in this Medicare group
Substance Abuse Rehabilitation Facility
521 N. QUINCY STREET
Arlington, VA 22203
  • Reassigned Medicare billing, District of Columbia enrollment
  • 30 clinicians in this Medicare group
Nurse Practitioner
8401 MAYLAND DR # 11441
Richmond, VA 23294
  • Reassigned Medicare billing, District of Columbia enrollment
  • 3 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20191 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Khadija Macaully's NPI number?

The NPI number for Khadija Macaully is 1265146229. It was assigned to this individual provider in the NPPES registry on January 12, 2023.

Where is Khadija Macaully located?

Khadija Macaully practices at 12018 Sunrise Valley Dr Ste 100, Reston, VA 20191. The listed phone number is (571) 262-2261.

What is Khadija Macaully's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Khadija Macaully enrolled in Medicare?

Yes. Khadija Macaully is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Khadija Macaully's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Khadija Macaully reassigns Medicare benefits to 3 organizations: Compassus Op Of Virginia LLC (Chantilly, VA), National Capital Treatment And Recovery (Arlington, VA) and Passionate Nurse Practitioner Services LLC (Richmond, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Khadija Macaully's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Khadija Macaully accept?

Health plans from Oscar Health list Khadija Macaully as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Khadija Macaully was last updated on August 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.