DR. MAGNUS KEHINDE IKHINMWIN (NPI# 1770681942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770681942 |
| Entity Type | Individual |
| Full Name | DR. MAGNUS KEHINDE IKHINMWIN |
| Credential | MD |
| Practice Address |
8505 Arlington Blvd Ste 340 Fairfax VA 22031 |
| Mailing Address |
10882 Mimosa Pl Oakton VA 22124-2427 |
| Practice Telephone | 7037160063 |
| Practice Fax Number | 7037163011 |
| Mailing Telephone | 7037588800 |
| Mailing Fax Number | 7037589500 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2016-07-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
0101057344 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FIRST HEALTH | 1121069 | 01 | |
| GA | MEDICAID | 08492993A | 01 |
| MAMSI | 289502 | 01 | |
| ANTHEM | 319481 | 01 | |
| CIGNA | 8989317 | 01 | |
| VA | VIRGINIA MEDICARE INDIVIDUAL | 00V069N17 | 01 |
| AETNA HMO | 2614802 | 01 | |
| CA | MEDICAID | 9458135 | 01 |
| VA | VA.MEDICARE GROUP | C08517 | 01 |
| MD | MEDICAID | 212121201 | 01 |
| AMERIGROUP | 279891 | 01 | |
| MEDICARE RAILROAD | 110228673 | 01 | |
| ALLIANCE PPO | 289502 | 01 | |
| AETNA PPO | 5972317 | 01 | |
| BC CAREFIRST | F0780001 | 01 | |
| MASS HEALTH | 0163520 | 01 | |
| GWU HP | 41838 | 01 | |
| AARP UNITED HEALTHCARE | 5402030870 | 01 | |
| VA | 5856141 | 05 |
| Street Address |
8505 ARLINGTON BLVD STE 340 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467459404 | F. Joseph Hallal | Internal Medicine | 8505 Arlington Blvd, Suite 200, Fairfax, VA 22031-4621 | 2005-07-06 |
| 1902363542 | Safae Chouraichi | Pharmacist | 8505 Arlington Blvd, Fairfax, VA 22031-4621 | 2019-03-01 |
| 1437602323 | Susan Fazilat | Nurse Practitioner | 8505 Arlington Blvd, Suite 330, Fairfax, VA 22031-4621 | 2016-07-27 |
| 1992168850 | Jessica Rose Joyce | Physician Assistant | 8505 Arlington Blvd, Suite 210, Fairfax, VA 22031 | 2016-03-29 |
| 1699130286 | Katelin Jackfert Emory | Nurse Practitioner | 8505 Arlington Blvd, Fairfax, VA 22031-4621 | 2015-12-23 |
| 1518345735 | Quest Diagnostics Incorporated Md | Clinical Medical Laboratory | 8505 Arlington Blvd, Suite 140, Fairfax, VA 22031-4621 | 2015-05-07 |
| 1518383322 | Jessica Lee Ackerman | Physician Assistant | 8505 Arlington Blvd, Suite 210, Fairfax, VA 22031-4621 | 2014-03-17 |
| 1982949970 | Morgan Doreen Scott | Physician Assistant | 8505 Arlington Blvd, Suite 210, Fairfax, VA 22031-4621 | 2012-12-03 |
| 1518210533 | Meredith Haase | Nurse Practitioner | 8505 Arlington Blvd, 320, Fairfax, VA 22031-4630 | 2012-10-16 |
| 1306105226 | Mary E Palm | Nurse Practitioner | 8505 Arlington Blvd, Suite 450, Fairfax, VA 22031-4621 | 2012-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598080186 | Vineet Kumaar Jassal | Internal Medicine | 3930 Walnut St Ste 101, Fairfax, VA 22030-4750 | 2010-04-07 |
| 1770632630 | Northern Virginia Nephrology Associates PC | Internal Medicine | 8505 Arlington Blvd Ste 340, Fairfax, VA 22031 | 2007-01-09 |
| 1295820827 | Kinjal Ramesh Patel | Internal Medicine | 3930 Walnut Street, Suite 101, Fairfax, VA 22030-4738 | 2006-10-03 |
| 1811995467 | Robert E Greenspan | Internal Medicine | 13135 Lee Jackson Memorial Hwy, 135, Fairfax, VA 22033-1907 | 2005-07-08 |
| 1639432198 | Nowal Al Baqui | Internal Medicine | 13135 Lee Jackson Memorial Hwy, #135, Fairfax, VA 22033-1907 | 2012-06-20 |
| 1285912857 | Caroline Kwon | Internal Medicine | 3930 Walnut St, Suite 101, Fairfax, VA 22030-4738 | 2011-07-29 |
| 1942450267 | Misbah Zaheer | Internal Medicine | 13135 Lee Jackson Memorial Hwy, Ste 135, Fairfax, VA 22033-1907 | 2008-09-23 |
| 1871778068 | Gregory Wang | Internal Medicine | 13135 Lee Jackson Memorial Hwy, #135, Fairfax, VA 22033-1907 | 2008-01-07 |
| 1487716593 | Kourosh Dibadj | Internal Medicine | 13135 Lee Jackson Memorial Hwy, 135, Fairfax, VA 22033-1907 | 2006-12-14 |
| 1700954252 | Anup Manoharan | Internal Medicine | 8316 Arlington Blvd, Suite 104, Fairfax, VA 22031-5207 | 2006-12-01 |
| Find all providers in FAIRFAX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.