Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1427225788 Individual Practitioner Female Practitioner

Dr. Hind Bouallali , MD

Pediatrics • Ashburn, VA

Professional Overview & Biography Verified Profile Summary

Dr. Hind Bouallali, MD is a registered healthcare professional specializing in Pediatrics in Ashburn, VA. Practice services are available at 20745 WILLIAMSPORT PL STE 340 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

20745 Williamsport Pl Ste 340

Ashburn, VA 201476520

Telephone 9176641143
Associated Practice Facility / Clinic
🏢 One Pediatrics Pllc Facility NPI 1104382985

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Ashburn, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
31 Specialists

Practicing in Ashburn, VA (2079 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License VA 0101265045

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License NY 262731

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Clinic/Center - Primary Care

NUCC Taxonomy Code: 261QP2300X

State License NY 262731

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
03127837 (NY)

Secondary Practice Locations

1650 Selwyn Ave, 6h

Bronx, NY 104577626

Phone: 7189601417

800 Grand Concourse Frnt 3

Bronx, NY 104513003

Phone: 7184018943

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events
📍
Updated Practice Location February 12, 2019

Registered at 20745 WILLIAMSPORT PL STE 340, ASHBURN, VA 201476520 (Tel: 9176641143)

📍
Updated Business Mailing Address February 12, 2019

Registered at 1135 SECRETARIAT CT, GREAT FALLS, VA 220661715 (Tel: 9176641143)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2019

Pediatrics (License #262731 in NY)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Clinic/Center (License #262731 in NY)

NPI Profile Active June 17, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 17, 2017

Registered at 800 GRAND CONCOURSE FRNT 3, BRONX, NY 104513003 (Tel: 7184018943)

📍
Updated Business Mailing Address June 17, 2017

Registered at 800 GRAND CONCOURSE FRNT 3, BRONX, NY 104513003 (Tel: (917) 664-1143)

👤
Provider Name / Credentials Updated June 17, 2017

Recorded as HIND BOUALLALI, M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2017

Pediatrics (License #262731 in NY)

NPI Profile Active August 31, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location August 31, 2011

Registered at 1650 SELWYN AVE, 6H, BRONX, NY 104577626 (Tel: 7189601417)

📍
Updated Business Mailing Address August 31, 2011

Registered at 316 E 92ND ST APT 1RE, NEW YORK, NY 101280159 (Tel: 9176641143)

👤
Provider Name / Credentials Updated August 31, 2011

Recorded as HIND BOUALLALI, M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2011

Clinic/Center (License #262731 in NY)

🟢
Initial NPI Registration & Enumeration May 14, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1427225788
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 14, 2008
Last Update: July 21, 2022
Sole Proprietor: Yes

Mailing Address

1135 Secretariat Ct

Great Falls, VA 220661715

Phone: 9176641143

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.