KHADIJA MACAULLY
NPI 1265146229
Nurse Practitioner - Family in Reston, VA
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
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
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.
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.
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.
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 12 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.
# Khadija Macaully · NPI 1265146229
Family physician in Reston, Virginia. Individual provider, active in the CMS NPPES registry since January 12, 2023.
## Identity
- **NPI:** 1265146229 (Entity type: Individual)
- **Enumerated:** January 12, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 0024186062 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12018 SUNRISE VALLEY DR STE 100, Reston, VA 20191-3444
- **Phone:** (571) 262-2261
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 20, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1265146229) · Data from the CMS NPPES public registry.