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SULMAN A MIRZA M.D.
NPI 1699036012
Psychiatry & Neurology - Child & Adolescent Psychiatry in Fairfax, VA

Active since June 01, 2012PECOS Enrolled
11204 WAPLES MILL RD, FAIRFAX, VA 22030(703) 218-8500 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 16, 2020, Mar 17, 2018, Jul 11, 2017 (3 updates tracked since 2017).

About Sulman A Mirza M.d. NPPES

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

SULMAN A MIRZA M.D. (NPI 1699036012) is an individual child & adolescent psychiatry provider in Fairfax, Virginia, licensed in Virginia (0101253972) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Sterling.

NPPES Registry Identity

NPI1699036012
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameSULMAN A MIRZACredential: M.D.
Location Address11204 WAPLES MILL RDFairfax, VA 22030-6036
Mailing Address24608 Siltstone SqAldie, VA 20105-3001
Phone(703) 218-8500
Sole ProprietorNo
Enumeration DateJune 1, 2012
Last NPPES UpdateNovember 27, 20233 updates tracked since enumeration
NPPES CertifiedOctober 16, 2020
✔ NPI 1699036012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in VA · 0101253972
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 0101256972 (VA)
11204 WAPLES MILL RD, Fairfax, VA 22030
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Secondary Practice Location 1

Location 146175 Westlake Dr Ste 410Sterling, VA 20165-5886 · Phone (571) 293-1551 · Fax (571) 363-2253

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sulman A Mirza M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. RAVINDERPAL SINGH M.D,
Psychiatry & Neurology (Child & Adolescent Psychiatry)
11204 WAPLES MILL RD
FAIRFAX, VA 22030
Fairfax City (703) 218-8500
HITOMI MAKINO
Counselor (Mental Health)
11204 WAPLES MILL RD
FAIRFAX, VA 22030
Fairfax City (703) 218-8500
ELIZABETH ANNE BROCATO LCSW
Social Worker (Clinical)
11204 WAPLES MILL RD
FAIRFAX, VA 22030
Fairfax City (703) 218-8571
STEPHANIE RENEE MAYRANT MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
11204 WAPLES MILL RD
FAIRFAX, VA 22030
Fairfax City (703) 218-8500
MICHELLE HENDRICKSON PH.D.
Psychologist (Clinical Child & Adolescent)
11204 WAPLES MILL RD
FAIRFAX, VA 22030
Fairfax City (703) 218-2913
MS. SARAH JUNGSOO LIM LPC
Counselor (Professional)
11204 WAPLES MILL RD
FAIRFAX, VA 22030
Fairfax City (703) 218-8500
JANET GREIDER LPC
Counselor
11204 WAPLES MILL RD
FAIRFAX, VA 22030
Fairfax City (703) 218-8500
DR. CATHERINE A RATHMAN PH.D.
Psychologist (Clinical Child & Adolescent)
11204 WAPLES MILL RD
FAIRFAX, VA 22030
Fairfax City (703) 218-8536

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 Sulman Mirza's NPI number?

The NPI number for Sulman Mirza is 1699036012. It was assigned to this individual provider in the NPPES registry on June 1, 2012.

Where is Sulman Mirza located?

Sulman Mirza practices at 11204 Waples Mill Rd, Fairfax, VA 22030. The listed phone number is (703) 218-8500.

What is Sulman Mirza's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Sulman Mirza enrolled in Medicare?

Yes. Sulman Mirza is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sulman Mirza was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.