Fella Ezzekmi-Aksouh, PAC
NPI 1912202664 · Physician Assistant · Herndon, VA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fella Ezzekmi-Aksouh, PAC is a Physician Assistant provider in Herndon, VA (NPI 1912202664).
Provider details
- NPI number
- 1912202664
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0110001667 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 8501 Sudley RdManassas, VA 20109-3563Phone: (571) 719-4180Fax: (571) 719-4181
Registry dates
- Enumerated
- 2011-01-11
- Last updated
- 2023-11-27
- Certified
- 2020-10-20
Frequently asked questions
- What is Fella Ezzekmi-Aksouh's NPI number?
- Fella Ezzekmi-Aksouh's National Provider Identifier (NPI) is 1912202664, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Fella Ezzekmi-Aksouh's specialty?
- Fella Ezzekmi-Aksouh is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Fella Ezzekmi-Aksouh located?
- Fella Ezzekmi-Aksouh's practice location on file with NPPES is 201 Elden St, Herndon, VA 20170-4853.
- What is Fella Ezzekmi-Aksouh's phone number?
- The practice phone number listed in the NPPES registry for Fella Ezzekmi-Aksouh is (703) 668-0222.
- Does Fella Ezzekmi-Aksouh accept Medicare?
- Fella Ezzekmi-Aksouh is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Fella Ezzekmi-Aksouh's NPI active?
- Yes — Fella Ezzekmi-Aksouh's NPI (1912202664) is active in the NPPES registry as of the last update on 2023-11-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.