MIRA INTEGRATIVE MEDICINE & GASTROENTEROLOGY
NPI 1851741912
Internal Medicine - Gastroenterology in Vienna, VA

Active since June 20, 2016
2557 CHAIN BRIDGE RD, VIENNA, VA 22181(703) 705-7555 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mira Integrative Medicine & Gastroenterology NPPES

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

MIRA INTEGRATIVE MEDICINE & GASTROENTEROLOGY (NPI 1851741912) is a healthcare organization registered as a gastroenterology in Vienna, Virginia and active in the NPI registry since June 2016. The organization lists Khalid Alkimawi, Director, as its authorized official.

NPPES Registry Identity

NPI1851741912
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameALKIMAWI MEDICAL INCORPORATED
Location Address2557 CHAIN BRIDGE RDVienna, VA 22181-5517
Mailing Address2557 Chain Bridge RdVienna, VA 22181-5517 · (703) 732-9916
Organization SubpartNo
Authorized OfficialKhalid AlkimawiDirector · (703) 732-9916
Enumeration DateJune 20, 2016
Last NPPES UpdateDecember 18, 2023
NPPES CertifiedDecember 18, 2023
✔ NPI 1851741912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
2557 CHAIN BRIDGE RD, Vienna, VA 22181

Other Names 1

Doing Business AsMira Integrative Medicine & Gastroenterology

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mira Integrative Medicine & Gastroenterology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mira Integrative Medicine & Gastroenterology, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gastroenterology
NPI 1609022094
8333 NAAB RD STE 230
Indianapolis, IN 46260
(317) 415-6580
✔ PECOS✔ Accepts Medicare482 mi

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

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 Alkimawi Medical Incorporated's NPI number?

The NPI number for Alkimawi Medical Incorporated is 1851741912. It was assigned to this organization in the NPPES registry on June 20, 2016. The provider is doing business as Mira Integrative Medicine & Gastroenterology.

Where is Alkimawi Medical Incorporated located?

Alkimawi Medical Incorporated is located at 2557 Chain Bridge Rd, Vienna, VA 22181. The listed phone number is (703) 705-7555.

What is Alkimawi Medical Incorporated's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Alkimawi Medical Incorporated enrolled in Medicare?

Yes. Alkimawi Medical Incorporated is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Alkimawi Medical Incorporated?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gastroenterology) reassigns their Medicare billing to Alkimawi Medical Incorporated. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Alkimawi Medical Incorporated was last updated on December 18, 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.