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FELLA EZZEKMI-AKSOUH PAC
NPI 1912202664
Physician Assistant in Herndon, VA

Active since January 11, 2011PECOS EnrolledAccepts Medicare Assignment
81.28/100
CMS Quality Rating
201 ELDEN ST, STE #101, HERNDON, VA 20170(703) 668-0222(703) 668-0224 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 20, 2020, Jan 16, 2020 (2 updates tracked since 2020).

About Fella Ezzekmi-aksouh Pac NPPES

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

FELLA EZZEKMI-AKSOUH PAC (NPI 1912202664) is an individual physician assistant in Herndon, Virginia, licensed in Virginia (0110001167) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Manassas, and is a graduate of Howard University College Of Medicine (2002).

NPPES Registry Identity

NPI1912202664
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameFELLA EZZEKMI-AKSOUHCredential: PAC
Location Address201 ELDEN ST, STE #101Herndon, VA 20170-4853
Mailing Address201 Elden St, Ste #101Herndon, VA 20170-4853 · (703) 668-0222 · Fax (703) 668-0224
Phone(703) 668-0222
Fax(703) 668-0224
Sole ProprietorYes
Medical School CMSHoward University College Of MedicineGraduated 2002
Enumeration DateJanuary 11, 2011
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedOctober 20, 2020
✔ NPI 1912202664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in VA · 0110001167
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 0110001667 (VA)
201 ELDEN ST, Herndon, VA 20170
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Secondary Practice Location 1

Location 18501 Sudley RdManassas, VA 20109-3563 · Phone (571) 719-4180 · Fax (571) 719-4181

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

Fella Ezzekmi-aksouh Pac 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.

PECOS PAC ID4587079561
PECOS Enrollment IDI20210301000665
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20170 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.77
Promoting Interoperability100
Improvement Activities40
Cost66.84

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 Fella Ezzekmi-aksouh's NPI number?

The NPI number for Fella Ezzekmi-aksouh is 1912202664. It was assigned to this individual provider in the NPPES registry on January 11, 2011.

Where is Fella Ezzekmi-aksouh located?

Fella Ezzekmi-aksouh practices at 201 Elden St Ste #101, Herndon, VA 20170. The listed phone number is (703) 668-0222.

What is Fella Ezzekmi-aksouh's specialty?

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

Is Fella Ezzekmi-aksouh enrolled in Medicare?

Yes. Fella Ezzekmi-aksouh 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 Fella Ezzekmi-aksouh 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.