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MARIAM ALI PA-C
NPI 1275084568
Physician Assistant in Fairfax, VA

Active since October 20, 2016
10100 FAIRFAX BLVD, FAIRFAX, VA 22030(703) 679-1876 Get Directions Write a Review

NPPES record last updated: February 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 1, 2021, Oct 29, 2018, Oct 20, 2016 (3 updates tracked since 2016).

About Mariam Ali Pa-c NPPES

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

MARIAM ALI PA-C (NPI 1275084568) is an individual physician assistant in Fairfax, Virginia, licensed in Virginia (0110005543) and active in the NPI registry since October 2016. She maintains a secondary practice location in Tysons.

NPPES Registry Identity

NPI1275084568
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARIAM ALICredential: PA-C
Location Address10100 FAIRFAX BLVDFairfax, VA 22030-2000
Mailing Address5000 Cox RdGlen Allen, VA 23060-9263 · (804) 968-5700
Phone(703) 679-1876
Sole ProprietorNo
Enumeration DateOctober 20, 2016
Last NPPES UpdateFebruary 1, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2021
✔ NPI 1275084568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in VA · 0110005543
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
10100 FAIRFAX BLVD, Fairfax, VA 22030
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Secondary Practice Location 1

Location 11980 Gallows Rd Ste 100Tysons, VA 22182-3913 · Phone (703) 942-5331

Other Providers at the Same Location NPPES 12

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

DR. CALEB LEE D.O.
Internal Medicine
10100 FAIRFAX BLVD
FAIRFAX, VA 22030
Fairfax City (703) 679-1876
MINH KHAI TRAN D.O
Family Medicine
10100 FAIRFAX BLVD
FAIRFAX, VA 22030
Fairfax City (703) 679-1876
BRIDGET A BAIDOO PA-C
Physician Assistant
10100 FAIRFAX BLVD
FAIRFAX, VA 22030
Fairfax City (703) 679-1876
PATIENT FIRST RICHMOND MEDICAL GROUP
Clinic/Center (Urgent Care)
10100 FAIRFAX BLVD
FAIRFAX, VA 22030
Fairfax City (703) 679-1876
BRANDON EDWARD POLASKO PA-C
Physician Assistant
10100 FAIRFAX BLVD
FAIRFAX, VA 22030
Fairfax City (703) 679-1876
NINO GELENIDZE MD
Family Medicine
10100 FAIRFAX BLVD
FAIRFAX, VA 22030
Fairfax City (703) 679-1876
ABDULWAHAB HASHEM HEGGI MD
Internal Medicine
10100 FAIRFAX BLVD
FAIRFAX, VA 22030
Fairfax City (703) 679-1876
DR. SHEEBA MAHNAZ M.D
Family Medicine
10100 FAIRFAX BLVD
FAIRFAX, VA 22030
Fairfax City (703) 679-1876

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 Mariam Ali's NPI number?

The NPI number for Mariam Ali is 1275084568. It was assigned to this individual provider in the NPPES registry on October 20, 2016.

Where is Mariam Ali located?

Mariam Ali practices at 10100 Fairfax Blvd, Fairfax, VA 22030. The listed phone number is (703) 679-1876.

What is Mariam Ali's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Mariam Ali was last updated on February 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.