DR. KEVIN ANDREW AZZAM (D.O.) – Internal Medicine Physician, NPI 1295140879

DR. KEVIN ANDREW AZZAM (D.O.) is a healthcare provider. based in Fairfax, Virginia. specializing in HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. 0102205381 (VA). The NPI Number for DR. KEVIN ANDREW AZZAM (D.O.) is 1295140879

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN ANDREW AZZAM (D.O.)
NPI
1295140879
Phone
(703) 776-2173
Address
3300 GALLOWS RD
Enumeration Date
23 June 2014
Last Update Date
4 September 2019

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Secondary Phone
2762581000
Graduation Year
2018 (8 years ago)
PAC ID
1355694720
Group Practice PAC ID
1850883513
Professional Enrollment ID
I20181101000803
Address ID
VA242117664AB16000DRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:11State licenses:1Digital endpointsOther names

1,234 HOSPITALIST in VA

Provider Addresses for DR. KEVIN ANDREW AZZAM (D.O.)

  • 3300 GALLOWS RD

    DEPARTMENT OF MEDICINE, INOVA FAIRFAX HOSPITAL

    FAIRFAX, VA 22042

    Phone: (703) 776-2173

    Fax: (703) 776-3020

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181101000803IHospitalistVATBD
I20240105003987IInternal MedicineDCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2212$0
View full utilization report →

Insurance plans in this area (ZIP 22042)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850883513View full group profile
NameSpecialtyState
Family PracticeVA
Internal Medicine, Hospitalist, Internal MedicineTN
Internal MedicineVA
Nurse PractitionerVA
Internal Medicine, Emergency Medicine, Emergency MedicineTN
Internal MedicineVA
Internal Medicine, HospitalistTN
Internal Medicine, HospitalistVA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is there an official ID for DR. KEVIN ANDREW AZZAM (D.O.) in U.S. healthcare records?
The official identifier for DR. KEVIN ANDREW AZZAM (D.O.) is NPI 1295140879.
Is DR. KEVIN ANDREW AZZAM (D.O.) still an active registrant?
DR. KEVIN ANDREW AZZAM (D.O.) carries an active NPI according to the public dataset.
How would a patient describe DR. KEVIN ANDREW AZZAM (D.O.)'s focus?
For DR. KEVIN ANDREW AZZAM (D.O.), the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Virginia is DR. KEVIN ANDREW AZZAM (D.O.) registered?
Use Fairfax, Virginia as the headline location for DR. KEVIN ANDREW AZZAM (D.O.) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

Similar Providers

NARENDRA G DESAI (M.D.)

Internal Medicine Physician
10721 MAIN ST STE 2450
NPI: 1780687715

JOANN PFUNDSTEIN (M.D.)

Internal Medicine Physician
Hamaker Court, Merrifield, Fairfax (city), Virginia, United States
NPI: 1912900598

PRADEEP R. NAYAK (M.D.)

Cardiovascular Disease Physician
Park Street Southeast, Vienna, Fairfax (city), Virginia, 22180-5605, United States
NPI: 1922000181

ADIL ZAHOOR GHAURI (M.D.)

Internal Medicine Physician
3620, Joseph Siewick Drive, Chantilly, Fairfax (city), Virginia, 22033, United States
NPI: 1689671414

DR. SOO WOONG PARK (M.D.)

Internal Medicine Physician
10680, Main Street, Ardmore, Fairchester, Fairfax, Fairfax (city), Virginia, 22030, United States
NPI: 1205833910

XIAOLAN ZHU (M.D.)

Internal Medicine Physician
Chain Bridge Road, Lord Fairfax Estates, Fairfax, Fairfax (city), Virginia, 22030-2508, United States
NPI: 1558369819

FIRAS H AL-KAWAS (MD)

Gastroenterology Physician
Loughboro Road Northwest, Washington, Washington, D.C., 20007:20016, United States
NPI: 1295733384

SHAKUNTALA MUNSHI MALIK (MD)

Medical Oncology Physician
MedStar Georgetown University Hospital, 3800, Reservoir Road Northwest, Burleith/Hillandale, Georgetown, Washington, Washington, D.C., 20007, United States
NPI: 1124027768

DR. DOLLY KOOI LENT (M.D.)

Internal Medicine Physician
130 MARVIN RD SE STE 112
NPI: 1619979598