KANIZ FATEMA (MD) – Family Medicine Physician, NPI 1356548366
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
95 INTERVENTIONAL PAIN MANAGEMENT in VA
Provider Addresses for KANIZ FATEMA (MD)
12581 MILSTEAD WAY STE 103
WOODBRIDGE, VA 221925446
Phone: (703) 437-6060
Type: Location
9527, Parsonage Lane, Lorton, Virginia, 22079, United States
LORTON, VA 220792776
Phone: (703) 646-5494
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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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: 2011-05-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110525000689 | I | Interventional Pain Management | VA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 116 | 55 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 107 | 99 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 76 | 76 | $0 |
| 87811 | Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) | 48 | 46 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 47 | 47 | $0 |
Insurance plans in this area (ZIP 22192)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| Physician Assistant | OK | |
| Orthopedic Surgery, Sports Medicine | VA | |
| Family Practice | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | FL | |
| - | MD | |
| Nurse Practitioner | VA | |
| Physician Assistant | VA | |
| Nurse Practitioner | VA |
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