MRS. NIDA GULFAM D.O.
NPI 1700414737
Psychiatry & Neurology - Psychiatry in Woodbridge, VA
About Mrs. Nida Gulfam D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. NIDA GULFAM D.O. (NPI 1700414737) is an individual psychiatry provider in Woodbridge, Virginia, licensed in Virginia (0102208421) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Stony Brook, and is a graduate of Touro Un Col Of Osteopathic Medicine, New York (2020).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Mrs. Nida Gulfam D.o. 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.
Medicare Billing Reassignment
Medicare enrollment records show Nida Gulfam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Woodbridge, VA 22192
- Reassigned Medicare billing, Virginia enrollment
- 995 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 22192 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WOODBRIDGE, VA 22192
WOODBRIDGE, VA 22192
WOODBRIDGE, VA 22192
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 Nida Gulfam's NPI number?
The NPI number for Nida Gulfam is 1700414737. It was assigned to this individual provider in the NPPES registry on March 27, 2020.
Where is Nida Gulfam located?
Nida Gulfam practices at 13285 Minnieville Rd, Woodbridge, VA 22192. The listed phone number is (800) 777-7904.
What is Nida Gulfam's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.
Is Nida Gulfam enrolled in Medicare?
Yes. Nida Gulfam 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 organization bills Medicare for Nida Gulfam's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nida Gulfam reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Woodbridge, VA). The 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 Nida Gulfam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nida Gulfam was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mrs. Nida Gulfam, D.O. · NPI 1700414737
Psychiatry physician in Woodbridge, Virginia. Individual provider, active in the CMS NPPES registry since March 27, 2020.
## Identity
- **NPI:** 1700414737 (Entity type: Individual)
- **Enumerated:** March 27, 2020
- **Primary specialty:** Psychiatry & Neurology - Psychiatry · taxonomy 2084P0800X
- **State license:** 0102208421 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 13285 MINNIEVILLE RD, Woodbridge, VA 22192-4018
- **Phone:** (800) 777-7904 · **Fax:** (844) 785-2180
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (NPI 1972275196, Woodbridge, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Touro Un Col Of Osteopathic Medicine, New York, class of 2020
## Record status
- **NPPES last updated:** June 1, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1700414737) · Data from the CMS NPPES public registry.