ALISA RAKHMATULLOVA MD
NPI 1942705082
Internal Medicine in Arlington, VA

Q: What is Alisa Rakhmatullova's NPI number?

The NPI number for Alisa Rakhmatullova is 1942705082. It was assigned to this individual provider in the NPPES registry on March 29, 2018.

Q: What is Alisa Rakhmatullova's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since March 29, 2018PECOS EnrolledAccepts Medicare Assignment

3833 FAIRFAX DR STE 200, ARLINGTON, VA 22203(703) 525-8863(571) 748-4257 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 5, 2026, Apr 17, 2026, Mar 29, 2018 (3 updates tracked since 2018).

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About Alisa Rakhmatullova Md NPPES

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

ALISA RAKHMATULLOVA MD (NPI 1942705082) is an individual internal medicine provider in Arlington, Virginia, licensed in Virginia (0101273331) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Inova Alexandria Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1942705082

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameALISA RAKHMATULLOVACredential: MD

Location Address3833 FAIRFAX DR STE 200Arlington, VA 22203-1773

Mailing AddressPo Box 37189Baltimore, MD 21297-3189 · (571) 423-5699 · Fax (571) 423-5698

Phone(703) 525-8863

Fax(571) 748-4257

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateMarch 29, 2018

Last NPPES UpdateMay 5, 20263 updates tracked since enumeration

NPPES CertifiedMay 5, 2026

✔ NPI 1942705082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in VA · 0101273331

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

3833 FAIRFAX DR STE 200, Arlington, VA 22203

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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

Alisa Rakhmatullova Md 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 ID5597153312

PECOS Enrollment IDI20211028000679, I20260529001827

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.

Medicare Billing Reassignments

Medicare enrollment records show Alisa Rakhmatullova reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Capital Healthcare PC

6.9 mi

Primary Care

6020 RICHMOND HWY STE 102
Alexandria, VA 22303

Reassigned Medicare billing, District of Columbia enrollment
158 clinicians in this Medicare group

NPI 1811239627 (571) 308-6776

Inova Physician Partners, LLC

18 mi

Family Medicine

3914 CENTREVILLE RD, SUITE 250
Chantilly, VA 20151

Reassigned Medicare billing, District of Columbia and Virginia enrollments
379 clinicians in this Medicare group

NPI 1215264916 (703) 321-2609

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

34 services28 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Inova Alexandria Hospital

Acute Care Hospitals · Alexandria, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490040

Location4320 Seminary RdAlexandria, VA 22304 · Alexandria City County

Emergency services Birthing friendly

Virginia Hospital Center

Acute Care Hospitals · Arlington, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490050

Location1701 North George Mason DriveArlington, VA 22205 · Arlington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22203 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

$147.85 typical visit price

range $65.18 – $194.86

Typical copayment $36.96 (range $16.29 – $48.71)

Most-billed visit code 99204

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

BRIAN GIOIELLI NP

Nurse Practitioner (Family)