Appendix B Covered Entities and Covered Provider List

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Appendix B Covered Entities and Covered Provider List The following facilities are covered by the Inova Financial Assistance Policy: Inova Hospital Facilities: o Inova Alexandria Hospital o Inova Fair Oaks Hospital o Inova Fairfax Hospital o Inova Loudoun Hospital o Inova Mount Vernon Hospital Other Inova Ambulatory Facilities: o Inova Cares Clinic for Children o Inova Cares Clinic for Women o Inova Cares Clinic for Families o Inova Cares Clinic for Community Bridging o Inova Cares Clinic for Behavioral Health o Inova Juniper Program o Inova Emergency Care Centers The following physician practices are covered by the Inova Financial Assistance Policy: Inova Arrhythmia Inova Cardiology Inova Cardiac & Thoracic Surgery Inova Dermatology Inova Endocrinology Inova Gastroenterology Inova Hematology Oncology Inova Melanoma & Skin Cancer Inova Neurology Inova Neurosurgery Inova Podiatric Surgery Inova Rheumatology Inova Surgical Services Inova Urology Inova Vascular and Vein The following practices are NOT covered by the Inova Financial Assistance Policy: Inova Bariatric Surgery Inova Breast Surgery Inova Obstetrics & Gynecology Inova Orthopedics Inova Primary Care Inova Sports Medicine Inova Weight Loss Services Inova Urgent Care Centers Updated 7/21

Transcript of Appendix B Covered Entities and Covered Provider List

Page 1: Appendix B Covered Entities and Covered Provider List

Appendix B

Covered Entities and Covered Provider List

The following facilities are covered by the Inova Financial Assistance Policy:

Inova Hospital Facilities:

o Inova Alexandria Hospital

o Inova Fair Oaks Hospital

o Inova Fairfax Hospital

o Inova Loudoun Hospital

o Inova Mount Vernon Hospital

Other Inova Ambulatory Facilities:

o Inova Cares Clinic for Children

o Inova Cares Clinic for Women

o Inova Cares Clinic for Families

o Inova Cares Clinic for Community Bridging

o Inova Cares Clinic for Behavioral Health

o Inova Juniper Program

o Inova Emergency Care Centers

The following physician practices are covered by the Inova Financial Assistance Policy:

• Inova Arrhythmia

• Inova Cardiology

• Inova Cardiac & Thoracic Surgery

• Inova Dermatology

• Inova Endocrinology

• Inova Gastroenterology

• Inova Hematology Oncology

• Inova Melanoma & Skin Cancer

• Inova Neurology

• Inova Neurosurgery

• Inova Podiatric Surgery

• Inova Rheumatology

• Inova Surgical Services

• Inova Urology

• Inova Vascular and Vein

The following practices are NOT covered by the Inova Financial Assistance Policy:

• Inova Bariatric Surgery

• Inova Breast Surgery

• Inova Obstetrics & Gynecology

• Inova Orthopedics

• Inova Primary Care

• Inova Sports Medicine

• Inova Weight Loss Services

• Inova Urgent Care Centers Updated 7/21

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The following providers are NOT covered by the Inova Financial Assistance Policy:

Abbott, Katherine A., MD, Crestwood Pediatric Associates PC

Abdula, Raushan Khalilovich, MD, Oracle Heart and Vascular

Abdulsalam, Farah Z., MD, Kaiser Permanente

Abedi, Mahmood, MD, Gastro Health

Abedin, Tareq, MD, Ashburn Sterling Internal Medicine and Pediatrics

Abella, Frank, MD, Graduate Medical Education Office

Abidin, Michael R., MD, Metropolitan ENT and Facial Plastic Surgery

Abou Nahlah, Esam, DDS, Dental Group of Tysons

Abousy, Khalid A., MD, Carient Heart and Vascular PC

Abraham, Sheena, MD, Virginia Center for Medicine

Abramova, Liana I., MD, Dermatology of Virginia

Abramowitz, Benjamin Daniel, MD, Eye Consultants of Northern Virginia PC

Abujrab-Saba, Claude, MD, Northern Virginia Center for Arthritis - Reston

Adams, Tonya L., MD, Gastro Health

Adawi, Adnan S., MD, Asthma and Pulmonary Specialists of Northern Virginia Ltd

Adler, Oscar, MD, Loudoun Medical Group

Afram, David, MD, Capital Women's Care

Agarwal, Aditi, MD, Ob/Gyn Associates of Northern Virginia

Aguiar, George, MD, OrthoVirginia Inc

Ahalt, Ryan G, DPM, Kaiser Permanente Tysons Corner Medical Center

Ahdoot, Samantha W, MD, Pediatric Associates of Alexandria

Ahmad, Sameer I., MD, Glaucoma Consultants of Washington Inc

Ahuja, Neeta, MD, Mid Atlantic Permanente Medical Group

Ailani, Haresh, MD, Eye Consultants of Northern Virginia PC

Ajmera, Ravi K., MD, Infectious Disease Consultants

Akhtar, Nauman J., MD, Leesburg Orthopedics

Aksentijevich, Ivan, MD, Virginia Cancer Specialists - Alexandria

Al Sammarrai, Firas A., MD, Graduate Medical Education Office

Alamanda, Vignesh K, MD, OrthoVirginia Inc

Alamoudi, Uthman A., MD, Graduate Medical Education Office

Alatis, Avery S., MD, Graduate Medical Education Office

Al-Attar, Ali, MD, PhD, Affiliates in Plastic Surgery

Alavi, Gelareh Khajenoori, MD, Infectious Disease Consultants

Albano, Marissa Lynn, MD, Eye Consultants of Northern Virginia PC

Albarracin, Julio C., MD, Graduate Medical Education Office

Albertus, Daniel, MD, Kaiser Permanente Tysons Corner Medical Center

Albino, Frank P, MD, Center for Plastic Surgery

Albrigo, John Louis, MD, Anderson Orthopaedic Clinic - Arlington

Alexander, Bill D, MD, Mid Atlantic Permanente Medical Group

Alexander, Pamela M, MD, Mid Atlantic Permanente Medical Group

Ali, Raheel A, MD, Anderson Orthopaedic Clinic - Mt Vernon

Ali, Said M., MD, Said M Ali MD PC

Alkeliddar, Farrah, DDS, Tiny Tooth Pediatric Dentistry

Allen, Jane D, MD, Capital Women's Care

Allen, Terry Andrea, MD, Terry Allen MD and Scott Forrest MD PLLC

Almokyad, Ismail K., MD, Graduate Medical Education Office

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Almudallal, Hanya, DPM, Allcare Foot and Ankle Center

Alsomali, Fatmah A., MD, Graduate Medical Education Office

Amayo, Isioma D., MD, Psychiatry Residents

Amin, Rasheda Zaheer, MD, Pediatric Specialists of Virginia

Amoah, Nana O., MD, Virginia Internal Medicine PC

Anbessie, Tedla B., MD, Aquia Family Medical Center

Andersen, Stephanie, MD, Graduate Medical Education Office

Anderson, Glenn, MD, Burke Family Practice PC

Andre, Tabitha E., MD, The Physician and Midwife Collaborative Practice PC

Andreoli, Marcelo, MD, Marcelo Andreoli MD

Andrew, Lori Rothstein, MD, Pediatric Healthcare

Anouti, Danya P, MD, Psychiatry Residents

Ansari, Samreen A, MD, Mid Atlantic Permanente Medical Group

Ansher, Alan, MD, Digestive Disease Physicians

Antabli, Bassema A., MD, Mid Atlantic Permanente Medical Group

Anvari, Afsoon A., MD, Graduate Medical Education Office

Anwar, Shaz, DO, Capital Caring - Aldie

Anwar, Tayyba Riaz, MD, Children's National Medical Center

Appiah, Yvette E., MD, All Phases Dermatology LLC

Arabshahi, Alidad, MD, Potomac Ear, Nose and Throat PLLC

Arabshahi, Bita, MD, Pediatric Specialists of Virginia

Aram, Ghazaleh, MD, Gastro Health

Arbabi, Niloofar, MD, New Horizon Pediatrics

Arichandran, Narmatha, MD, Capital Area Pediatrics - Herndon

Armakan, Korosh E, DDS, Dentistry for Children of Northern Virginia

Armwood, Amisha M., MD, All Pediatrics - Alexandria

Arnold, Jacqueline, MD, The Kidz Docs

Arnold, Janice L., MD, Urology Center USA Inc

Aronhime, Michelle D Abreu, MD, Prince William Family Medicine - Manassas An Inova

Partner

Arowolo, Odunola O., MD, Mid Atlantic Permanente Medical Group

Arshad, Aysha, MD, Carient Heart and Vascular PC

Arshad, Jawad, MD, Virginia Hospital Center

Arshad, Rabia, MD, Carient Heart and Vascular PC

Aryavand, Behdad, MD, Carient Heart and Vascular PC

Asesor, Maria Concepcion D, MD, Alexandria Primary Care Associates

Ashraf, Azra A., MD, Affiliates in Plastic Surgery

Ashraf, Syed, MD, Carelife Medical

Asmamaw, Abraham Yimer, MD, Integrated Medical Care and Rehabilitation PC

Asmar, Pierre, MD, Washington Fertility Center

Assadi, Hamid S., MD, Madison Family Medicine

Atiga, Walter L, MD, MedStar Heart and Vascular Institute

Atiyeh, Bassam A., MD, Northern Virginia Pediatric Associates

Awad, Charbel, MD, Annandale OBGYN

Axel, Abigail L., MD, Graduate Medical Education Office

Azer, Nigel M., MD, Anderson Orthopaedic Clinic - Arlington

Aziz, Nasir A., MD, All Phases Dermatology LLC

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Aziz, Waseem I, MD, GW Medical Faculty Associates

Aziz-Ashraf, Fatima Zehra, MD, Carelife Medical

Azzam, Charles J, MD, Charles Azzam MD

Azzam, Steven, MD, Graduate Medical Education Office

Bach Halloin, Noelle E., MD, Virginia Pediatric Group Ltd

Badillo, Andrea T., MD, Children's National Health System

Bae, Catherine J., MD, Northern Virginia Pediatric Associates

Bae, Jason J., MD, DDS, Loudoun Center for Oral Surgery

Baeder, Katherine J., MD, Capital Area Pediatrics - Falls Church

Bagasra, Alexander U., MD, Infectious Disease Consultants

Bahadori, Robert S, MD, Otolaryngology Associates PC

Bailey, Kristen, MD, Psychiatry Residents

Bajoghli, Mehdi, MD, Allergy Asthma and Sinus Centers

Baker, Stephen B., MD, MedStar Georgetown University Hospital

Balba, Nader H., MD, Gastro Health

Baldinger, John C., MD, Capital Eye Consultants

Baldrate, Christine Z, MD, Northern Virginia Pediatric Associates

Ballew, Matthew J., DO, Graduate Medical Education Office

Ballone, Nina T, MD, Psychiatry Residents

Banaji, Girish, DDS, Banaji Pediatric Dental Specialists

Banks, Timothy J., MD, Graduate Medical Education Office

Banson, Felice L., MD, Gastro Health

Banta, Lisa M., MD, Pediatric Specialists of Virginia

Banta, Maureen T, MD, Pediatric Partners of Northern Virginia

Barakat, Amin J., MD, Northern Virginia Pediatric Associates

Baray, Ahmad S, MD, Patient First

Barazi, Mohammed Kair, MD, Retina Group of Washington - Manassas

Barbour, John R, MD, Barbour Plastic Surgery

Barkin, Ronald J., MD, Advanced Digestive Care LLC

Barlow, Haven J., Jr. MD, Chesapeake Plastic Surgery

Barmada-Mazid, Serene B., MD, Fairfax Pediatric Associates PC

Basile, John J., MD, Commonwealth Urology

Basile, Sean M., MD, Graduate Medical Education Office

Bathon, Kathleen E., MD, Graduate Medical Education Office

Baugh, James R., MD, Virginia Pediatric Group Ltd

Baynesagn, Woldegabriel, MD, Virginia Pediatric Group Ltd

Bazaco, George C., MD, Pulmonary and Critical Care Specialists of Northern Virginia PC

Beall, Steven C., MD, Graduate Medical Education Office

Beard, Alexander Z., MD, Psychiatry Residents

Beckinella, Lisa A, DPM, Manassas Foot and Ankle Center

Bedaiwi, Islam I., MD, Graduate Medical Education Office

Belote, Robert Keith, MD, Catoctin Family Practice PC

Beloy, Amie Angelita, MD, Ashburn Pediatrics

Bennett, Ricardo M., DPM, Manassas Foot Clinic

Berenji, Kambeez, MD, Polaris Heart and Vascular Clinic

Berg, Jeffrey H., MD, Town Center Orthopaedic Associates PC

Berger, John Torrey, III MD, Children's National Health System

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Berinstein, Daniel M., MD, Retina Group of Washington - Fairfax

Bernad, Peter G., MD, Neurology Services Inc

Bernard, Johnathan Alexander, MD, OrthoVirginia Inc

Berry, David B, MD, Capital Women's Care

Berthet, Ellora B, MD, All Pediatrics - Alexandria

Berul, Charles I, MD, Children's National Health System

Bethel, Sonya N., MD, Mount Vernon Internal Medicine - Springfield

Bevan, Jeffrey R., MD, Graduate Medical Education Office

Beveridge, Roy A., MD, Virginia Cancer Specialists - Fairfax

Bhagavathula, Lakshmi Rama, MD, Greenspring Medical Center

Bhatia, Sanjeev Raj, DDS, Dentistry Specialty Integrated

Bhatt, Kirit A., MD, Rejuve Plastic Surgery

Bhojani, Minal M, MD, Pediatric Associates of Alexandria

Bissell, Marion C, MD, Ob/Gyn Associates of Northern Virginia

Bitar, George J, MD, Bitar Cosmetic Surgery Institute

Black, Kaelan, MD, Otolaryngology Associates PC

Blakemore, Laurel C, MD, Pediatric Specialists of Virginia

Blank, Sarah I., MD, Fairfax ENT and Facial Plastic Surgery

Bluhm, Andrew E., DDS, Loudoun Oral and Maxillofacial Surgery

Boehm, Brock E., DO, Graduate Medical Education Office

Bolad, Aladdin A., MD, Primary Care Doctors Group PC

Bondareff, Erwin A., MD, Pediatric Associates of Alexandria

Bourget, Mariya, MD, Clifton Centreville Medical Associates

Boutros, Ayman, MD, The Eye Center

Bowen-Wright, Hazel, MD, Virginia Endocrinology Consultants LLC

Bowler, Dustin H., DDS, Potomac Surgical Arts PC

Boyd, Bradley Lowell, DO, Fair Oaks Orthopedic Associates Inc

Bradford, Joshua, DO, Graduate Medical Education Office

Branche, George C., III MD, Anderson Orthopaedic Clinic - Arlington

Brandwin, Leslie Martin, MD, Alexandria Health Care Center PLLC

Brantley, Elizabeth A, MD, Farrell Pediatrics

Brauer, Deborah Ann, MD, Digestive Disease Physicians

Brazie, Marc F., MD, Metropolitan Nephrology Associates

Brennan, Alexandra K., MD, Graduate Medical Education Office

Brennan, Marjorie P., MD, Children's National Medical Center

Brennt, Charles E., MD, Mid Atlantic Permanente Medical Group

Bridge, Rachel J, MD, Capital Women's Care

Brooks, Joseph T., MD, Graduate Medical Education Office

Brown, Anne B, MD, Capital Women's Care

Brown, Charlotte K, MD, Mid Atlantic Permanente Medical Group

Brown, Christopher J., MD, Blue Ridge Orthopaedic and Spine Center

Brown, Michael C., MD, Gastro Health

Browne, Paulette E, MD, Shady Grove Fertility

Bruno, James Robert, MD, Bruno Brown Plastic Surgery

Bruzda, Gabrielle A., DO, Graduate Medical Education Office

Bryan, Candace V, MD, Neurology Center of Fairfax

Bryant, Juanita S., MD, Retina Group of Washington

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Bryant, Mary Jane, MD, Pediatric Associates of Alexandria

Brzezniak, Christina Ellen, DO, Virginia Cancer Specialists - Reston

Buenaventura, Susan K., MD, The Sendi Cosmetic Surgery Center

Bukhari, Kaneeze-Fatema A., MD, Kids First Pediatrics PLLC

Bukzin, Jay Meyer, DDS, Meyer Clinic

Bulger, Elizabeth A, MD, Inova Fairfax Hospital

Bunker, Teea R., DO, Graduate Medical Education Office

Burger, Brenton W., DDS, Dulles Institute for Oral Maxillofacial and Dental Implant

Surgery

Burgula, Swathi, MD, Capital Area Pediatrics - Vienna

Buxo, Francisco J., MD, Buxo and Associates Inc PC

Byas-Smith, Michael G., MD, Capital Caring - Aldie

Byrne, John P., MD, MedStar Orthopaedic Institute

Byrnes, Gordon A, MD, Retina Group of Washington - Alexandria

Byrnes, Laura E, MD, Fairfax Pediatric Associates PC

Cabahug-Heyrana, Josefina, MD, Armstrong Heyrana and Associates

Caffey, Soren, MD, NOVACure Consultants

Cain, Shannon E., MD, Graduate Medical Education Office

Calbert, Jacquelyn Lucile, MD, Pediatric Specialists of Virginia

Calihan, Martha S., MD, Five Stones Healing Arts and Wellness Center

Callahan, Claiborne Moore, MD, Callahan Eye

Canadas, Rafael, MD, Rafael Canadas MD

Canady, Sita S., MD, Fall Hill Pediatrics

Cannon, Paul B., DPM, Falls Church Foot and Ankle

Cantor, David J., DMD, Northern Virginia Oral and Maxillofacial Surgery Associates

Cardinal, Linda M., MD, Kaiser Permanente Tysons Corner Medical Center

Carneiro, Susete M, MD, Mid Atlantic Permanente Medical Group

Carroll, Maura K, MD, Ashburn Pediatrics

Carroll, Michael P., MD, Graduate Medical Education Office

Carter, Aaron Henry, MD, Town Center Orthopaedic Associates PC

Carter, Stephanie D., MD, Mount Vernon Internal Medicine - Alexandria

Carty, Brian C., MD, Telegraph Corner Family Medicine

Casamalhuapa Calderon, Martha L, MD, Casa Pediatrics PC

Casey, Rachel K., MD, Pediatric Specialists of Virginia

Casolaro, M. Anthony, MD, MD Squared

Cassidy, Michael P., MD, Fairfax Orthopaedics PLLC

Cassini, Thomas A., MD, Graduate Medical Education Office

Castle, Robert L, MD, Fairfax OB-GYN Associates PC

Castro, Marco, MD, Neurology Center of Fairfax

Cavros, Evie K., MD, TPG Pediatrics

Cecil, Mary Reilly, MD, Leesburg Sterling Family Practice

Cha, Leanne J., MD, Providence Family Medicine

Chachula, Laura A., DO, Graduate Medical Education Office

Chaffay, Brandon A., MD, Graduate Medical Education Office

Challa, Chaitanya, MD, Pediatric Specialists of Virginia

Chamberlain, Louise J., MD, Town Pediatrics PC

Chambers, Zerline, MD, Zerline Chambers MD

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Chan, David, DPM, Podiatric Care of Northern Virginia

Chandra, Vinodh, MD, Graduate Medical Education Office

Chang, Brian Byung, DMD, Village Oral and Implant Surgery

Chang, Carol S, MD, Mid Atlantic Permanente Medical Group

Chang, Christopher Charles, MD, Congressional Plastic Surgery

Chang, Lie-Ping, DO, Alexandria Osteopathic Family Medicine

Chang, Taeun, MD, Pediatric Specialists of Virginia

Chang, Thomas F, MD, Pediatric Specialists of Virginia

Chang, Wellington H., MD, Northern Virginia Eye Physicians

Chao, Catherine, MD, Pediatric Specialists of Virginia

Chao, Jerry W., MD, GW Medical Faculty Associates

Chapman, Kimberly, MD, PhD, Children's National Medical Center

Charen, Jonathan David, MD, Leesburg Sterling Family Practice

Chary, Bejjenki S, MD, Primary Care Doctors Group PC

Chau, Michael J., DO, Graduate Medical Education Office

Chaudhry, Jawad I., MD, Psychiatry Residents

Chauhan, Ashok, MD, Ashok Chauhan MD PC

Chaurasia, Avinash R., MD, Graduate Medical Education Office

Chawla, Arvinder S., MD, Virginia Medical Arts Clinic PC

Chawla, Parminder Singh, MD, Loudoun Neurology Associates PC

Chay, Edward Y., MD, Mark J Schefkind MD PC

Cheema, Abdussalam, MD, American Kids Care PC

Chehrenama, Mahan, DO, iNeuro Headache Specialists

Chen, Gao L, MD, Mid Atlantic Permanente Medical Group

Chen, Min, MD, Graduate Medical Education Office

Chen, Richard W, MD, FairfaxMD PLLC

Chen, Tzujane J, MD, Affiliates in Plastic Surgery

Cheng, Alex Y., MD, Potomac Ear, Nose and Throat PLLC

Cheng, Christina L., MD, Fairfax Colon and Rectal Surgery

Cheriyan, Ranjit K., MD, Virginia Nephrology Group

Cheung, Albert Y., MD, Mid Atlantic Permanente Medical Group

Childs, Ronald C., MD, OrthoVirginia

Chiu, Alden V., MD, Virginia Cancer Specialists - Loudoun

Cho, Man H., DPM, Foot and Ankle Specialists of the MidAtlantic

Cho, Mi Hei, MD, Kinder Life Pediatrics

Choe, Eric J.W., MD, Northern Virginia Urology

Choi, Kun-Young R, MD, Herndon Family Medicine An Inova Partner

Choi, Rosan Y., MD, Washington National Eye Center

Chong, Daniel G., MD, Virginia Cancer Specialists - Fairfax

Chopra, Vinod K, MD, Chantilly Cosmetic Surgery

Chotani, Habib A., MD, CN Internal Medicine

Choudhary, Imtiaz A, MD, Infectious Diseases Tropical Medicine and Travel Clinc

Choudhry, Arshed A., MD, Loudoun Ob-Gyn

Chowla, Navreet M., MD, Mid Atlantic Permanente Medical Group

Christian, Shirley L., MD, Capital Area Pediatrics - Ryan Park

Christie, Robert J., MD, Virginia Cancer Specialists - Arlington

Chu, Keith H, MD, Carient Heart and Vascular PC

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Chun, Benjamin B., MD, DC Eye Clinic

Chun, Dal W., MD, Retina Group of Washington - Tysons Corner

Chung, Philip R., MD, Gainesville Eye Associates

Chung, Sandy Lee, MD, Fairfax Pediatric Associates PC

Chung, Tae J., MD, Reston Rheumatology and Arthritis Center

Churchill, Matthew R., MD, Neurology Center of Fairfax

Chutuape, Arthur D., MD, Infectious Disease Associates

Ciampi, Frank P., MD, Williamsburg Square Family Practice

Cieslak, Randal A., DO, Graduate Medical Education Office

Civitello, Lucy A, MD, Pediatric Specialists of Virginia

Clapp, Deborah G., MD, Capital Area Pediatrics - Sleepy Hollow

Clark, Jacob, MD, Alexandria Ophthalmic Associates PC

Clark, Jessica N., DO, Graduate Medical Education Office

Cleary, John B., MD, Pulmonary and Critical Care Specialists of Northern Virginia PC

Cline, Payton M., DO, Graduate Medical Education Office

Cohen, Andrea J., MD, Graduate Medical Education Office

Cohen, Barry J., MD, Washington Plastic Surgery Group

Cohen, Nathan T, MD, Children's National Health System

Cole, Sarah S., MD, Graduate Medical Education Office

Coleman, Nathan William, MD, OrthoVirginia Inc

Colgrove, Nicole J, MD, Reston Ear Nose and Throat PC

Colvin, Donald B, MD, Fairfax Colon and Rectal Surgery

Comstock, Richard H, III MD, Metropolitan ENT and Facial Plastic Surgery

Coo, Albert W., MD, Diabetes and Endocrine Associates

Cooper, Jamille T, MD, Pediatric Healthcare

Cooper, Jason A, MD, Herndon Family Medicine An Inova Partner

Corella, Augusto C, MD, Alexandria Primary Care Associates

Corn, Stephanie, MD, Whole Child Pediatrics

Cothran, Shannon J., MD, Capital Women's Care

Couret, Ivette Anne, MD, Capital Women's Care

Covin, Antoinette B, MD, Mid Atlantic Permanente Medical Group

Cox, Anthony R., Jr. MD, Graduate Medical Education Office

Crantz, Frank R., MD, Endocrine Associates

Crenshaw, Ryan Paul, MD, Ryan P Crenshaw MD PC

Crimm, Hampton A, MD, Carient Heart and Vascular PC

Croog, Alexander S., MD, OrthoVirginia Inc

Cross, Catherine M., MD, Virginia Pediatric and Adolescent Center

Cross, Russell R., MD, Children's National Medical Center

Crossan, Alessa S., MD, Virginia Retina Center

Crowley, Anthony Edward, MD, Leesburg Sterling Family Practice

Crowley, Theresa H., MD, Ashburn Pediatrics

Csokmay, John Michael, III MD, Genetics and IVF Institute

Cuiper, Leslie L., MD, Asthma and Pulmonary Specialists of Northern Virginia Ltd

Curcio, Edward P., MD, Edward Curcio MD

Currall, Victoria Regina, MD, Virginia Medical Alliance

Currier, Carol Anne, MD, Concentra Sterling

Cutler, Samantha Grey, MD, TPG Pediatrics

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Cuttica, Daniel J., DO, The Orthopaedic Foot and Ankle Center

DaCosta, David H., DO, Graduate Medical Education Office

Dadkhah, Mina, DDS, Smileville Family Dental

Dainer, Rupa Joshi, MD, Pediatric Specialists of Virginia

Daly, Farrah Nicole, MD, Goodwin House Hospice and Palliative Care

Dano, Elliot, MD, Graduate Medical Education Office

Danyluk, Jill E., DO, Graduate Medical Education Office

Dao, Jennifer Bagdady, MD, Eye Consultants of Northern Virginia PC

Dar, Ajay, MD, Virginia Cancer Specialists - Loudoun

Dar, Rizwan Q, MD, Greenspring Medical Center

Davis, Rae J., MD, National Spine and Pain Centers - Landsdowne

Davis, Resa E., MD, Healthy Kids Pediatric Center

Davis, Tanya D, MD, Children's National Medical Center

Davison, Steven P, MD, Davinci Plastic Surgery

Dawood, Akbar A., DMD, Northern Virginia Oral and Maxillofacial Surgery Associates

De La Cruz, Carola M., DDS, Treasured Smiles

De Sena, David, DO, Graduate Medical Education Office

de Vera, Justin James D., DO, Graduate Medical Education Office

Dean, Jennifer B, MD, Pediatric Specialists of Virginia

Deardorff, Dylan D, MD, Montclair Internal Medicine

Deboer, Derek L., MD, Graduate Medical Education Office

Decker, Barry J., MD, Mid Atlantic Permanente Medical Group

DeFrancesco, Anna, DO, Psychiatry Residents

DeGannes, Christopher Nigel, MD, Mid Atlantic Permanente Medical Group

Dehal, Stacy A., MD, Novant Health UVA Lake Manassas Ob/Gyn - Gainesville

Dekker, Jan J., MD, Fairfax Surgical Group LLC

Della-Santina, Christopher P., MD, Mid Atlantic Permanente Medical Group

Denduluri, Neelima, MD, Virginia Cancer Specialists - Arlington

Dennemeyer, Sarah L., MD, Mount Vernon Internal Medicine - Alexandria

Depositario-Cabacar, Dewi Frances Tonelete, MD, Children's National Health System

Deshmukh, Sameer M, MD, Kaiser Permanente

Desman, Eric, MD, Virginia Center for Plastic Surgery

Desta, Hiwot B., MD, Colon Stomach and Liver Center LLC

Devan, Vas, MD, Pulmonary and Critical Care Associates

Dexter-Rice, Elizabeth M, MD, Farrell Pediatrics

Dharia, Jugal R., DPM, Oakton Foot and Ankle Center PLLC

Dicicco, Barry S., MD, Pulmonary and Critical Care Specialists of Northern Virginia PC

Dickman, Jenna M., MD, Graduate Medical Education Office

Dierks, Marie Elizabeth, DO, Pediatric Associates of Alexandria

Dietz, Nicole A., MD, Neurology Center of Fairfax

DiPaolo, Francis, MD, Insight Vision Center PLLC

Djafari, Paria, MD, Leesburg Sterling Family Practice

Do, Brian K, MD, Retina Group of Washington - Fairfax

Do, Kent H., MD, Graduate Medical Education Office

Doan, Minh-Phuong Lu, MD, Mid Atlantic Permanente Medical Group

Dogra, Shalini, MD, Mid Atlantic Permanente Medical Group

Domanski, Mark C., MD, Bluemont Plastic Surgery PC

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Donelan, Crystal M., MD, Graduate Medical Education Office

Donofrio, Mary T, MD, Children's National Medical Center

Dorsch, Steve, MD, DDS, Loudoun Oral and Maxillofacial Surgery

Doud Galli, Suzanne K., MD, Susan Doud Galli MD PC

Dougherty, Timothy R., Jr. MD, Digestive Disease Physicians

Doyle, Deborah J., MD, Otolaryngology Associates PC

Dreyer, Nicholas J., MD, Graduate Medical Education Office

Dreyfuss, Heath F, MD, ENT and Facial Plastic Surgery

Dronavalli, Sridhar, MD, DermAssociates

Drooz, Alain T., MD, Vascular and Interventional Associates of Fairfax Radiological

Consultants

du Plessis, Adre J, MD, Children's National Medical Center

Dua, Anuradha P., MD, Medical Specialists of NoVa

Dubey, Aditya N., MD, NOVA Pulmonary Critical Care and Sleep Associates

Ducic, Ivica, MD, PhD, Washington Nerve Institute LLC

Duda, Gloria, MD, Aesthetic Center for Plastic Surgery

Dufresne, Craig R, MD, Craig R Dufresne MD

Duggal, Roopa M, MD, Loudoun Women's Healthcare Associates

Dulai, Sarbjot S., MD, Neurology Associates

Dulman, Robin Yates, MD, Pediatric Specialists of Virginia

Durrani, Sarfraz A, MD, MedStar Heart and Vascular Institute

Durso, Nancy M., MD, Shady Grove Fertility

Edunuri, Krishna K, MD, Virginia Hospital Center

Egan, Timothy J., MD, Fairfax ENT and Facial Plastic Surgery

Eisenbaum, Marc A, MD, Marc A Eisenbaum MD

Eitches, Lisa K., MD, Psychiatry Residents

Ejtemaee, Nasrin, MD, Nasrin Ejtemaee MD

Elariny, Hazem A., MD, Advanced Laproscopic and General Surgery Associates

Eldadah, Zayd Adnan, MD, PhD, MedStar Heart and Vascular Institute

Elesho, Virginia M, MD, Mount Vernon Internal Medicine - Alexandria

Eliason, Jacob F., MD, Psychiatry Residents

Elkousy, Mohammed Adel, MD, Maternal Fetal Associates of The Mid Atlantic LLC

Eller, Marc A., MD, Virginia Medical Alliance

Ellison, Craig, MD, Digestive Disease Physicians

El-Mawan, Mohamed T H, MD, El-Mawan Medical Center for Family Practice and

Pediatrics

Endreson, Morgan L., MD, Graduate Medical Education Office

Enelow, Robert Stewart, MD, Internal Medicine and Allergy Associates

Engh, Charles A, Jr. MD, Anderson Orthopaedic Clinic - Mt Vernon

Eno, Nicole D., MD, Graduate Medical Education Office

Epps, William M., MD, Kaiser Permanente Tysons Corner Medical Center

Epstein, Bethany C., MD, Virginia Pediatric and Adolescent Center

Epstein, Carly A., DO, Graduate Medical Education Office

Escano, Michael G, MD, Prince William Cardiology Associates

Ezirike Ladipo, Jennifer, MD, Pediatric Specialists of Virginia

Faist, Hailey L., MD, Graduate Medical Education Office

Farooqi, Aysha, MD, Irmindra Rana MD PC

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Farooque, Abdullah A., MD, Valley Health Clinic, Inc

Faul, Justin D., DPM, Warrenton Foot and Ankle Center

Favret, Anne M., MD, Virginia Cancer Specialists - Fairfax

Fearrington, Sandra J, MD, NOVA Wound Care PC

Feely, Thomas A, MD, Loudoun Internal Medicine Associates

Feigert, John M., MD, Virginia Cancer Specialists - Arlington

Fein, Jordana G., MD, Retina Group of Washington - Fairfax

Feldman, Elizabeth, MD, Virginia Cancer Specialists - Loudoun

Felix, Grace M., MD, Pediatric Specialists of Virginia

Felluca, Evelyn S, MD, Perfectly Female Women's Health Care

Feltes, Jordan R., MD, Graduate Medical Education Office

Feng, Christina, MD, Pediatric Specialists of Virginia LLC

Ferebee, Michael P., MD, Graduate Medical Education Office

Ferguson, Lauren P., DO, Graduate Medical Education Office

Fergusson, Paula N., MD, KidsFirst Pediatrics PLLC

Fermin, Cyrelda R., MD, Infant Child and Adolescent Clinic

Ferrer, Jenie Sales, DO, The Kidz Docs

Ferrer, Rosario Cabrera, MD, Springfield Medical Clinic

Fields, Jennifer E., DO, Graduate Medical Education Office

Fischer, Greg David, MD, Horizon Spine and Pain Specialists

Fischer, Margaret B, MD, MedStar Heart and Vascular Institute

Fisher, Matthew, MD, Psychiatry Residents

Fishman, Simon, MD, Integrated Neurology Services PLLC

Fitzer, Matthew Alexander, MD, Virginia Bariatric Surgery Center

Fleeter, Thomas B., MD, Town Center Orthopaedic Associates PC

Fleming, Jaclyn M, DO, Reston Town Center Pediatrics

Flory, Elizabeth M, MD, Neighborhood Health

Fogarty, Lynn D., MD, Farrell Pediatrics

Fogarty, Thomas M., MD, Thomas Fogarty MD

Foley, Catherine M., MD, Graduate Medical Education Office

Foretich, Eric A, DDS, McLean Oral, Facial, and Implant Surgery

Forman, Douglas L, MD, Plastic Surgery Institute of Washington

Forrest, Scott T., MD, Terry Allen MD and Scott Forrest MD PLLC

Foster, Chana-Rivka, MD, Virginia Women's Health Associates Ltd

Foster, Leah N, MD, Capital Women's Care

Fox, Carol M., MD, Capital Area Pediatrics - Vienna

Franco, Michael A., DO, Graduate Medical Education Office

Fraser, Douglas James, MD, Mark J Schefkind MD PC

French, James Harold, MD, Center for Plastic Surgery

Fricka, Kevin, MD, Anderson Orthopaedic Clinic - Mt Vernon

Friedenthal, Amy L., MD, Amy L Friedenthal MD PC

Friedman, Loren L., MD, Virginia Cancer Specialists - Fairfax

Fugate, Candace S., MD, TPG Pediatrics

Fullerton, Morgan E, MD, Mid Atlantic Permanente Medical Group

Funches, Renee Elizabeth, MD, Mid Atlantic Permanente Medical Group

Furlong, William B., MD, William B Furlong MD

Gabor, Elisabeth B., MD, TPG Pediatrics

Page 12: Appendix B Covered Entities and Covered Provider List

Gallerani, Christina A., MD, Graduate Medical Education Office

Galliani Alvarez, Mirtha Giannina, DDS, Growing Smiles of Northern Virginia

Gallini, Marc R., MD, Williamsburg Square Family Practice

Galuk, Stephanie M, DO, Capital Women's Care

Gandhi, Hiren, MD, Metropolitan Pediatrics

Gandhi, Niral B, MD, Mid Atlantic Permanente Medical Group

Gantsoudes, George D, MD, Pediatric Specialists of Virginia

Garber, Vera, MD, Telegraph Corner Family Medicine

Garcia, Ray Jay Espana, MD, Capital Caring - Aldie

Garcia, William J., MD, William J Garcia MD

Gardner, Aric B, MD, The Centers for Advanced Orthopaedics

Gardner, Charles William, MD, Northern Virginia Family Practice Associates

Garone, Michael A, MD, Gastro Health

Garrett Scott, Mina M, MD, Herndon Family Medicine An Inova Partner

Garrett, Mary G., MD, Pediatrics of Arlington PLC

Garrett, Philip P., DPM, Landmark Foot and Ankle Center

Gazori, Michael K, DDS, Little Pearls Dentistry for Children

Gehring, David W., MD, Alexandria Internal Medicine

Geng-Ramos, Giuliana, MD, Pediatric Specialists of Virginia LLC

Gentile, Michael A, DMD, Meyer Clinic

George, Linda, MD, Pediatric Associates of Alexandria

Gerald, Caitlyn N, DDS, Scott Leaf DDS PLC

Ghafouri, Merdod, DO, Carient Heart and Vascular PC

Ghalehbaghi, Faranak, DDS, Pediatric and Adolescent Dentistry

Ghatak-Roy, Aditi, MD, Graduate Medical Education Office

Gichana, Roselyne N., DMD, Falls Church Pediatric Dental Center

Gilbert, William S., MD, Retina Group of Washington - Fairfax

Gill Sealy, Laura E, MD, Pediatric Specialists of Virginia

Gill, Aman, MD, Prince William Family Medicine - Manassas An Inova Partner

Gill, Satinder S, MD, Colon Stomach and Liver Center LLC

Gillian, George K., MD, Virginia Heartburn and Hernia Institute

Gitman, Lyuba, MD, Pediatric Specialists of Virginia

Glandon-Hyun, Angela C., MD, Capital Area Pediatrics - Sleepy Hollow

Glassman, Bruce D., MD, Capital Dermatology Ltd

Glick, Brian N., MD, Brian Glick MD

Gocke, Michael T, DDS, Virginia Oral Facial and Implant Surgery

Gohel, Shailesh K., MD, Boulevard Center Pediatrics

Goldberg, Brittany E, MD, Pediatric Specialists of Virginia

Goldberg, Michael H., MD, Eye Consultants of Northern Virginia PC

Goldberg, Paul M., DO, Paul M Goldberg DO

Goldblatt, Alan A, MD, Capital Caring - Aldie

Golden, Alan H., DDS, Golden Pediatric Dentistry and Orthodontics

Goldstein, Ken E, DPM, Warrenton Foot and Ankle Center

Goldstein, Stafford S., MD, Northern Virginia Gastrointestinal Associates Ltd

Goldstein, Steven, DPM, Warrenton Foot and Ankle Center

Gomez, Miguel J., MD, Spanish Women's Care

Gondos, Gordon M., MD, Lizann Schloff MD

Page 13: Appendix B Covered Entities and Covered Provider List

Goodwin, Andrew K., MD, Graduate Medical Education Office

Gopal, Sarita, MD, Greenbriar Ob-Gyn PC

Gordon, Steven A, DPM, Manassas Foot and Ankle Center

Gorenshtein, Alexander, DPM, Foot and Ankle Center - Winchester

Gorsen, Robert M., MD, Robert M Gorsen MD PhD PC

Gospodinoff, Alexia Rose, MD, Northern Virginia Center for Arthritis - Reston

Gottesman, Dina M., MD, Farrell Pediatrics

Gottlieb, Wendy R., MD, Wendy R Gottlieb MD PLC

Goudarzi, Behnam M., MD, Virginia Pulmonary Associates

Gowda, Murliya D., MD, Infectious Disease Consultants

Gowda-Boylan, Priya, MD, Capital Area Pediatrics - Ryan Park

Goyal, Nitin, MD, Anderson Orthopaedic Clinic - Arlington

Graham, Nora M., MD, The Physician and Midwife Collaborative Practice

Grandinetti, Robert, DPM, Mid Atlantic Permanente Medical Group

Grapin, Fern L., MD, Fern L Grapin MD

Grass, David B., MD, Neurology Center of Fairfax

Gray, Samuel T, DPM, Sterling Foot and Ankle Center

Greene, Michael D., MD, Michael Greene MD

Grewal, Ravneet, MD, Virginia Cancer Care Inc

Grimm, Samuel O., III MD, Capital Women's Care

Groeber, Sandra J., MD, Town Pediatrics PC

Guarnaccia, Steven P., MD, Mid Atlantic Permanente Medical Group

Guillen, Manuel, MD, Virginia Allergy and Pediatric Associates

Gunn, Justin C., MD, Graduate Medical Education Office

Gupta, Ambrish Kumar, MD, Medical Associates of Northern Virginia Inc

Gupta, Asheesh, MD, NOVA Orthopedic and Spine Care

Gupta, Jyotsna, MD, Medical Associates of Northern Virginia Inc

Gupta, Naren, MD, PhD, Vascular Institute of Virginia

Gupta, Pradeep K., MD, Gastroenterology Center of Northern Virginia

Gupta, Sunil, MD, Pediatrics and Newborn Medicine

Guraya, Jordan S., DO, Graduate Medical Education Office

Gurian, Josef E, MD, Ear Nose and Throat Specialists of Northern Virginia PC

Habib, Farangis M., MD, Virginia Pediatric Group Ltd

Hack, Kaytlin E., MD, Graduate Medical Education Office

Hadadi, Cyrus, MD, MedStar Heart and Vascular Institute

Haddad-Mashad, Afsane, MD, McLean Cardiology PC

Hafner, Nancy, MD, Fairfax Gynecology Group

Hafner, Shaun Charles, DPM, Manassas Foot and Ankle Center

Haghighi, Parham, MD, Fairfax Internal Medicine Associates

Hair, Joyce P, MD, Joyce Hair MD

Hall, Melinda S., MD, The Menopause Center

Halpin, Diane L, MD, Northern Virginia Pediatric Associates

Hamarsha, Zaid M., MD, Graduate Medical Education Office

Hamilton, William G., MD, Anderson Orthopaedic Clinic - Mt Vernon

Hammer, Clarisa C, DO, Affiliates in Plastic Surgery

Hammoud, Nadine, MD, Fairfax Gynecology Group

Han-Hafner, Nancy Mary, DPM, Manassas Foot and Ankle Center

Page 14: Appendix B Covered Entities and Covered Provider List

Hanna, Mona, MD, Van Dorn Pediatrics PC

Hannan, Catherine M, MD, West End Plastic Surgery

Hardy, Michael R., MD, Fair Oaks Urology

Harkless, Kia E, MD, Virginia Pediatric and Adolescent Center

Harnden, Ivan P, MD, Gastro Health

Hart, Robert R, MD, Fair Oaks Urology

Hartley, Mark C., MD, OrthoVirginia Inc

Hartzell, William O, MD, Fairfax Lung Center

Harvey, Hayley, MD, Graduate Medical Education Office

Hasenauer, Mark D, MD, Anderson Orthopaedic Clinic - Mt Vernon

Hashemi, Neda, MD, Centreville Ob/Gyn

Hassan, Moustafa M., MD, Maternal Fetal Associates of The Mid Atlantic LLC

Hattwick, Emily A., MD, Pediatric Specialists of Virginia LLC

Havert, Cecily D, MD, Northern Virginia Family Practice Associates

Hawa, Nadim N., MD, Capital Women's Care

Hawken, Samuel M., MD, Fairfax Orthopaedics PLLC

Hegab, Ahmed M, MD, Gastro Health

Heintz, Jessica S., MD, Virginia Cancer Specialists - Arlington

Heller, Matthew S., MD, Psychiatry Residents

Henochowicz, Stuart I, MD, Internal Medicine and Allergy Associates

Henrikson, Susan E., MD, Northern Virginia Pediatric Associates

Henson, Jesus A., MD, Tysons Corner Medical Center - Kaiser Permanente

Herman, Gabriel B., MD, Gastroenterology Center of Northern Virginia

Herrera, Alberto A., MD, Mount Vernon Internal Medicine - Lorton

Herscowitz, Robert D., MD, Pulmonary Associates Ltd

Hersh, Camilla C., MD, Virginia Women's Health Associates Ltd

Hess, Christopher, MD, Hess Plastic Surgery

Hester, Austin G., MD, Children's National Medical Center

Hibshman, Gina C., MD, Capital Women's Care

Hibshman, Kristina Kathleen, MD, Physicians for Women

Hill, Lisa C., MD, Capital Area Pediatrics - Ryan Park

Hillman, Katelynn R, MD, Capital Area Pediatrics - Vienna

Hirschfeld, William J., MD, Graduate Medical Education Office

Hneich, Nesly Ivonne, MD, DC Metro Psychiatry

Ho, Christina P., MD, Children's National Medical Center

Ho, Ton Q., DPM, Manassas Foot Clinic

Hoang, Jacqueline K., MD, Pediatric Associates of Springfield

Hoang, My D., MD, Mid Atlantic Permanente Medical Group

Hoang, Vivian, MD, Real Time Neuromonitoring Associates

Hoffer, Megan, DO, Graduate Medical Education Office

Hoffman, Richard A., MD, Asthma and Pulmonary Specialists of Northern Virginia Ltd

Hogan, Martha W., MD, Virginia Pediatric and Adolescent Center

Holden, Candice P, MD, Pediatric Specialists of Virginia

Honainy, Hassan K., MD, Jackson River Nephrology

Hong, Jenny J, MD, Tysons Corner Medical Center - Kaiser Permanente

Hong, Min Ki, DO, Graduate Medical Education Office

Hope, Donald G., MD, Center for Cranial and Spinal Surgery

Page 15: Appendix B Covered Entities and Covered Provider List

Hopper, Michael J, MD, Pediatric Associates of Alexandria

Horbach, Nicolette S., MD, Mid Atlantic Urogynecology and Pelvic Surgery

Hou, Damon, MD, Capital Women's Care

Hougen, Thomas J., MD, Children's National Medical Center

Hourigan, Suchitra K, MD, Pediatric Specialists of Virginia

Howell, Suzanne White, MD, Pediatric Partners of Northern Virginia

Hryvniak, Michael R., MD, Michael R Hryvniak MD PC

Hsieh, Michael, MD, PhD, Children's National Medical Center

Hsu, Eileen, MD, Mid Atlantic Permanente Medical Group

Huang, Alina M., MD, Virginia Cancer Specialists - Alexandria

Huang, Jack C, MD, Gastro Health

Huang, Jason M, MD, Retina Group of Washington - Fairfax

Huang, Kathy, MD, Plastic Surgery Institute of Washington

Huang, Peterson Y., DMD, Nova Premier Dental

Hubbard, Ryan, MD, Anderson Orthopaedic Clinic - Arlington

Hueman, Matthew T, MD, Mid Atlantic Permanente Medical Group

Hughes, Edward Richard, DDS, E Richard Hughes DDS

Hull, Aaron, DO, Graduate Medical Education Office

Hunt, Marcus J., MD, Psychiatry Residents

Hunter, Ian M., MD, Graduate Medical Education Office

Hurst, James M., DPM, Centreville Foot and Ankle Clinic

Hussein, Yasir, MD, Graduate Medical Education Office

Huynh, Sandy L., MD, Virginia Pediatric Group Ltd

Huynh, Tina P., DPM, Evergreen Foot & Ankle

Hwang, Brice, MD, Graduate Medical Education Office

Hwang, Daniel, MD, Reston Ear Nose and Throat PC

Hwang, Monica L, MD, Herndon Family Medicine An Inova Partner

Hyun-Park, Younghae Lisa, MD, Loudoun Ob-Gyn

Idiculla, Stanley, DPM, NOVA Foot and Ankle

Ipakchi, Ramin, MD, Potomac Ear, Nose and Throat PLLC

Iqbal, Zahid, MD, Washington Nephrology Associates

Irvine, Lisa A., MD, Purcellville Pediatrics

Irwin, Amy Johnston, MD, Virginia Cancer Specialists - Loudoun

Ishaq, Syed N., MD, Syed N Ishaq MD

Izzo, Michael C., MD, Graduate Medical Education Office

Jaafar, Mohamad Sami, MD, Pediatric Specialists of Virginia

Jaber, Rolla, MD, Renewal Dermatology and MedSpa

Jabola, Jessica L, MD, Greenbriar Ob-Gyn PC

Jabroun, Mireille, MD, Children's National Medical Center

Jackson, Brittany A., MD, Capital Women's Care

Jacob, Gillian A, MD, Capital Women's Care

Jacobs, Addison F., MD, Graduate Medical Education Office

Jadidi, Ali, MD, Prince William Pediatrics and Adolescent Center

Jafir, Ahsan Q, DO, Prince William Cardiology Associates

Jahangiri, Arehzo, MD, Amelia Heart and Vascular Center PC

Jain, Ranjana, MD, Virginia Pediatric Group Ltd

Jain, Supriya, MD, Pediatric Specialists of Virginia

Page 16: Appendix B Covered Entities and Covered Provider List

Jander, Ryan M., MD, MedStar Orthopaedic Institute

Jarvandi, Mohammad, MD, Virginia Pediatric and Adolescent Center

Jasani, Archana B., MD, Capital Area Pediatrics - Sleepy Hollow

Jassal, Vineet Kumaar, MD, Virginia Nephrology Group

Jefferies, Kara L., MD, Capital Women's Care

Jessie, Marquis L., MD, Maternal Fetal Associates of The Mid Atlantic LLC

Jezior, James R, MD, Kaiser Permanente

Jivan, Kuntal, MD, Pediatric Specialists of Virginia LLC

John, Reverly M., MD, e-ICU

Johnson, David Charles, MD, National Sports Medicine Institute

Johnson, Earl M., Jr. MD, Dominion Plastic Surgery

Johnson, Karen Evalyn, MD, e-ICU

Johnson, Thomas Mark, MD, Retina Group of Washington - Fredericksburg

Johnson, Timothy Sterling, MD, National Sports Medicine Institute

Johnson, William R., MD, Graduate Medical Education Office

Jones, Lindsay B, MD, Affiliates in Plastic Surgery

Jones, Tammy R., MD, Tammy R Jones MD

Jordan, Christopher P., MD, Graduate Medical Education Office

Joseph, Alice A, MD, Alice Joseph MD

Josephson, John W, MD, Eye Specialists and Surgeons of Northern Virginia

Jo-Shi, Iris, DO, Pediatric Specialists of Virginia

Josovitz, Kenneth N., MD, Gastro Health

Jossan, Subir S, MD, The Centers for Advanced Orthopaedics

Jow, Alexander Z., MD, Mid Atlantic Permanente Medical Group

Juanpere, Maria E, MD, Whole Child Pediatrics

Jungwirth, Michael, DMD, Lorton Dental Implant and Oral Surgery

Kacedan, James P, MD, James P Kacedan MD

Kalloo, Naida B., MD, Children's National Health System

Kanapuru, Bindu, MD, Inova Fairfax Hospital

Kandil, Abdurrahman, MD, Loudoun Medical Group

Kandler, Courtney E., MD, Psychiatry Residents

Kane, Timothy D., MD, Children's National Health System

Kaneriya, Shalini G., MD, Lifetime Internal Medicine PLLC

Kantor, Scott D., MD, Mid Atlantic Permanente Medical Group

Kapoor, Aarti, MD, TPG Pediatrics

Kapoor, Shreeti, MD, Farrell Pediatrics

Karapetian, Christine, DDS, Pediatric Specialists of Virginia LLC

Karimi, Ashkan, MD, Carient Heart and Vascular PC

Karnaze, Michael G., MD, Vascular and Interventional Associates of Fairfax Radiological

Consultants

Kartalian, George, Jr. MD, Town Center Orthopaedic Associates PC

Kashani, Atoosa, DPM, Annandale Foot and Ankle Center

Kastner, Julia E., MD, Graduate Medical Education Office

Kataria, Rahul D, MD, Colon Stomach and Liver Center LLC

Katira, Reshma C., MD, Retina Group of Washington - Alexandria

Katz, Ernest, MD, Mount Vernon Internal Medicine - Springfield

Kaul, Reena Sonya, MD, Virginia Pediatric Group Ltd

Page 17: Appendix B Covered Entities and Covered Provider List

Kayloe, Natalia, MD, Integrated Neurology Services PLLC

Kaza, Sarita, MD, Mid Atlantic Permanente Medical Group

Kazemi, Ali F., MD, Gastro Health

KC, Lilly, MD, Prince William Family Medicine - Manassas An Inova Partner

Keim, Daniel Edward, MD, Pediatric Specialists of Virginia

Kelly, Lisa S., MD, Northern Virginia Pediatric Associates

Kelly, Matthew R., MD, Graduate Medical Education Office

Kelly, Meaghan A., MD, Pediatric Specialists of Virginia

Kennedy, Colleen A., MD, Fairfax Orthopaedics PLLC

Kern, Melissa D., MD, Pediatric Specialists of Virginia LLC

Kernan-Grunzke, Anne B., MD, Pediatric Associates of Alexandria

Khafagy, Ayatallah M., MD, Fairfax OB-GYN Associates PC

Khalifeh, Katherine W., MD, Fairfax Colon and Rectal Surgery

Khalifeh, Marwan R., MD, Breast and Body Solutions

Khan, Imran A., MD, Countryside Orthopaedics

Khan, Mubarik A, MD, Advanced Internal Medicine Inc

Khan, Muhammad Ali, MD, Pediatric Specialists of Virginia

Khan, Naveed M., MD, Shady Grove Fertility

Khan, Smeena, MD, Dermatology Center of Loudoun PLC

Khan, Yasmin, MD, Advanced Internal Medicine Inc

Khandhar, Sandeep J., MD, Virginia Cancer Specialists - Fairfax

Khanifar, Aziz Alexander, MD, Retina Group of Washington - Silver Spring

Khanna, Rajeev, MD, Virginia Medical Arts Clinic PC

Kharbanda, Monica, MD, Franconia Pediatrics

Khorrami, Ali Mohammad, MD, Mid Atlantic Permanente Medical Group

Khosla, Shaun K., MD, Suburban Orthopaedic Sports and Total Joint Clinic PC

Khoury, Tawfiq R, MD, Mid Atlantic Permanente Medical Group

Khurana, Natasha, DDS, Sporting Smiles Pediatric Dentistry and Family Orthodontics

Khurana, Shalinee, MD, Children's National Medical Center

Khuu, John N., MD, Oncology/Hematology of Loudoun and Reston

Killian, Shoshana H., MD, Union Mill Pediatrics

Kim, Albert H., MD, Cardiac and Vascular Care of Virginia

Kim, Byungki, MD, Gastro Health

Kim, Cindy Hong, MD, Capital Area Pediatrics - Ryan Park

Kim, Dong M, DPM, Landmark Foot and Ankle Center

Kim, Elliott Jiwoo, MD, OrthoVirginia Inc

Kim, Eugene H., MD, Kidney and Hypertension Specialists PLLC

Kim, Kenneth Jae Yoon, MD, Kenneth Jae Yoon Kim MD

Kim, Misuk A., MD, Misuk Kim MD OBGYN PLC

Kim, Nancy C, MD, Pediatrics of Arlington PLC

Kim, Rebekah S., MD, Fairfax Colon and Rectal Surgery

Kim, Richard Y, MD, Loudoun Internal Medicine Associates

Kim, Sang Y, MD, DMD, McLean Oral, Facial, and Implant Surgery

Kim, Sharon J, MD, Capital Women's Care

Kim, SungHee, DDS, Banaji Pediatric Dental Specialists

Kim, William S, MD, Otolaryngology Associates PC

Kin, Jeffrey D., MD, Mid Atlantic Permanente Medical Group

Page 18: Appendix B Covered Entities and Covered Provider List

Kirschenbaum, Malka Davina, MD, Graduate Medical Education Office

Kiszkiel, Laura, MD, Capital Women's Care

Kitay, Kaleen, MD, PartnerMD

Kittredge, Ben W., IV MD, OrthoVirginia Inc

Klein, Jonathan, MD, Medical Surgical Group

Klein, Michael Alan, DPM, Northern Virginia Foot and Ankle Associates LLC

Knudson, William Edward, Jr. DPM, Podiatric Care of Northern Virginia

Kodama, Teruaki, MD, Fairfax Surgical Group LLC

Kohn, Susan E., MD, Capital Area Pediatrics - Sleepy Hollow

Kolachana, Padmaja, MD, Washington Nephrology Associates

Kolb, Kimberly S, DO, Pediatric Healthcare

Kolkin, Alexander V., MD, Graduate Medical Education Office

Kongkasuwan, Kimberly R, MD, The Physician and Midwife Collaborative Practice PC

Konkus, Stephanie S., MD, Town Pediatrics PC

Kordestani, Reza, MD, Affiliates in Plastic Surgery

Korkowski, Martin Anthony, MD, Mancini and Korkowski

Koslow, Joel L., MD, Koslow and Hunt MD

Kotwal, Shaveta, MD, Ashby Ponds Medical Center

Kouyoumdjian, Marc A., MD, Kaiser Permanente Fair Oaks/Fair Lakes

Kozicki, Daniel S., DO, Graduate Medical Education Office

Kravitz, Shena A., MD, Graduate Medical Education Office

Kreisman, Alexander B., MD, Graduate Medical Education Office

Krill, Aaron J, MD, Children's National Medical Center

Kronen, Michael R., MD, Pediatric Specialists of Virginia

Kugler, Gary, DPM, Lansdowne Foot and Ankle Center

Kulkarni, Amey Ravindrakumar, MD, Kaiser Permanente Tysons Corner Medical Center

Kuperschmit, Diego I, MD, Gastroenterology Center of Northern Virginia

Kuperstock, Jacob E., MD, Otolaryngology Associates PC

Kurtzke, Robert N, MD, Neurology Center of Fairfax

Kusic, Michael B., MD, Capital Women's Care

Kwon, Caroline, MD, Virginia Nephrology Group

Kwon, Omin, MD, Psychiatry Residents

Ladha, Aliya B, MD, Reston Women's Center

Lailas, Nicholas G., MD, The Urology Group

Lakkis, Randala R, MD, Pediatric Specialists of Virginia

Lando, Howard M., MD, Medical Specialists of NoVa

Lane, Herbert Edward, III MD, OrthoVirginia Inc

Langdon, Raquel L, MD, Pediatric Specialists of Virginia

Lange, Joel J., MD, Graduate Medical Education Office

Langston, Ayana, MD, Graduate Medical Education Office

Lankenau, Malori A., MD, Graduate Medical Education Office

Lanter, David L., MD, Eye Physicians of Virginia

Lapham, Timothy Robert, MD, NOVA Wound Care PC

Lasner, Lance A., MD, Northern Virginia Gastroenterology

Latanski, James, MD, Graduate Medical Education Office

Lateef, Tarannum M, MD, Pediatric Specialists of Virginia

Lauria, Alexis L., MD, Inova Fairfax Hospital

Page 19: Appendix B Covered Entities and Covered Provider List

Lawhorn, Keith W, MD, OrthoVirginia Inc

Lawlor, Christopher J., MD, Pediatric Specialists of Virginia

Lawrynowicz, Maria, MD, Graduate Medical Education Office

Layfield, Richard L., III MD, NOVA Orthopedic and Spine Care

Lazareva, Oksana, MD, Pediatric Specialists of Virginia

Le, Anna N, MD, Annandale OBGYN

Le, Chuong M, MD, Real Time Neuromonitoring Associates

Leavens, Deborah I, MD, Herndon Family Medicine An Inova Partner

Lee, Donald Joungtae, DO, Leesburg Sterling Family Practice

Lee, Edwin J., MD, Reston Ear Nose and Throat PC

Lee, Eric Sean, MD, Retina Group of Washington - Fredericksburg

Lee, James J, MD, ENT and Allergy Specialists of Virginia

Lee, Jane Ann, MD, Mid Atlantic Permanente Medical Group

Lee, Joseph C, MD, Carient Heart and Vascular PC

Lee, Joseph Y., MD, Potomac Family Practice

Lee, Kevin J, MD, Herndon Family Medicine An Inova Partner

Lee, Nicole J., MD, Capital Area Pediatrics - Vienna

Lee, Patty, MD, Otolaryngology Associates PC

Lee, Peter, MD, Pediatric Specialists of Virginia

Lee, Sophia D, MD, Virginia Heartburn and Hernia Institute

Lee, Sung W., MD, MedStar Heart and Vascular Institute

Lee, Vickie Kyuran, MD, ENT and Allergy Specialists of Virginia

Lee-Park, Owen H., MD, Graduate Medical Education Office

Lehr, Shannon C, MD, Breast Care Consultants of Northern Virginia

Leibowitz, Ian H., MD, Pediatric Specialists of Virginia

Leon Janampa, Eyby Luz, MD, Pediatric Specialists of Virginia

Leon, Ralph A., MD, Loudoun Medical Group Primary and Immediate Care Center

Leonidov, Michael H., MD, Kingstowne Family Practice

Lesche, Stephen, MD, Graduate Medical Education Office

Lesh, Ellen J., MD, Graduate Medical Education Office

Levin, Arnold S, DPM, Dale City Foot Clinic

Levinson, Joshua D., MD, Retina Group of Washington - Alexandria

Levinstone, Alan R., MD, Clifton Centreville Medical Associates

Levorson, Rebecca E., MD, Pediatric Specialists of Virginia

Levy, Jeffrey A, DO, The Orthopaedic Foot and Ankle Center

Lew, Susie Q., MD, George Washington University Medical Faculty Associates

Lewanda, Amy Feldman, MD, Children's National Health System

Lewis, Chantal D., MD, Mednovations

Lewis, Kerry R., MD, Shimla Medical Center

Lewry Beauvais, Natasha Wynne, MD, Northern Virginia Family Practice Associates

Libby, Russell C., MD, Virginia Pediatric Group Ltd

Lim, Jae Yun, MD, Atlantic Brain and Spine

Lim, Jin Soo, MD, Ear Nose and Throat Associates

Limaye, Suresh R., MD, Insight Vision Center PLLC

Lin, Eugenia Ihsien, MD, TPG Pediatrics

Lindley, John R., MD, Graduate Medical Education Office

Lindsey, William H., MD, Nova Care Center

Page 20: Appendix B Covered Entities and Covered Provider List

Link, Kathleen M, MD, Pediatric Specialists of Virginia

Linowes, Brett A., MD, Graduate Medical Education Office

Lischwe, Catherine A., MD, Pediatrics of Arlington PLC

Liu, Frederick, MD, DDS, Fairfax Oral and Maxillofacial Surgery

Liu, Jesse K., MD, Kaiser Permanente Falls Church

Liu, Jonathan Y., MD, Psychiatry Residents

Liu, Wei, MD, Wei Liu PLLC

Lo Russo, Thomas J., MD, Pulmonary and Critical Care Specialists of Northern Virginia PC

Lomax, Peggy J., MD, Peggy J Lomax MD

Lonas, Christen L, DPM, Foot and Ankle Center - Winchester

Lorenzetti, Adam J., MD, Countryside Orthopaedics

Lorica, Victor G., MD, Virginia Nephrology Group

Lotfi, Ali, MD, Mid Atlantic Permanente Medical Group

Lotfi, Paymaun, MD, NOVA Orthopedic and Spine Care

Louis-Jacques, Otto, MD, Pediatric Specialists of Virginia

Lovallo, Jeffrey L., MD, Anderson Orthopaedic Clinic - Arlington

Lower, Raymond F., DO, Countryside Orthopaedics

Lowery, Kevin, MD, Virginia Nephrology Group

Lowery, Wylie D., MD, NOVA Orthopedic and Spine Care

Lugo-Eschenwald, Vivian L., MD, Family Medicine Associates of Alexandria

Luisada, Paul V., MD, Nova Institute of Psychiatry

Lutta, Kevin C., MD, OrthoVirginia Inc

Lutz, Eric W., MD, Psychiatry Residents

Lwin, Simon W., MD, Mount Vernon Internal Medicine - Alexandria

Ma, Jane, MD, Psychiatry Residents

Madani, Saman, DMD, SunnySmiles Pediatric and Family Dentistry

Maddox, John F., MD, Capital Women's Care

Madiraju, Krishna P, MD, Century Pediatrics Inc

Mafi, Shahryar, MD, Carient Heart and Vascular PC

Magassy, Csaba L., MD, Plastic Surgery Associates PC

Mahan, Nicholas J., MD, Psychiatry Residents

Mahdi, Saad Fakhri, MD, Dominion Urgent Care LLC

Mahoney, Alexandra M., DO, Graduate Medical Education Office

Mai, Phuong X., MD,

Mair, Kellin, DO, Psychiatry Residents

Malek, Mehrdad M., MD, Washington Orthopedic and Knee Clinic Inc

Malhotra, Suresh K., MD, Advanced Digestive Care LLC

Malik, Aditi, MD, PsychFairfax LLC

Malik, Farhan F., MD, Mid Atlantic Permanente Medical Group

Malik, Shruti, MD, Shady Grove Fertility

Malini, Luiz E, MD, Mount Vernon Internal Medicine - Alexandria

Manalo, Bayani L., MD, Bayani L Manalo MD

Mancini, Robert Christopher, MD, Rocky Run Family Medicine

Mandia, Jeremy J., MD, Graduate Medical Education Office

Mangalmurti, Chaitanya S., MD, Mid Atlantic Permanente Medical Group

Manoharan, Anup, MD, Washington Nephrology Associates

Mansoor, Darlene K., MD, Pediatric Specialists of Virginia

Page 21: Appendix B Covered Entities and Covered Provider List

Mansour, Sam E., MD, Virginia Retina Center

Mar, Alice, MD, Farrell Pediatrics

Maragh, Sherry Lynette Henderson, MD, Northern Virginia Dermatology Vein and Surgery

Center

Marathe, Atul V, MD, Gastro Health

Marathe, Ira C, MD, Lifetime Internal Medicine PLLC

Marefat, Saeed, MD, Metropolitan Plastic Surgery PC

Markin, Laurie S., MD, Rocky Run Family Medicine

Marlin, Elizabeth A, MD, Occupational Medical Services

Martin, Benjamin D., MD, Children's National Medical Center

Martin, Jeffrey M, MD, Loudoun Medical Group Primary and Immediate Care Center

Martinelli, Thomas A, MD, OrthoVirginia Inc

Mascarenhas, Rochelle P., MD, South Riding Pediatrics

Mathai, Mariam, MD, Retina Group of Washington - Fairfax

Matheson, Ryan J., MD, Graduate Medical Education Office

Matisoff, Andrew Jeffrey, MD, Children's National Medical Center

Matthews, Michael R., DPM, The Podiatry Center

Matzie, Kimberly Ann, MD, Fairfax Colon and Rectal Surgery

Mauger, Robert L., MD, Graduate Medical Education Office

May, Eve, MD, Pediatric Specialists of Virginia

Mazahery, Behrang Thomas, MD, OrthoVirginia Inc

Mazloomdoost, Donna, MD, Mid Atlantic Urogynecology and Pelvic Surgery

McAsey, Craig J., MD, Anderson Orthopaedic Clinic - Arlington

McCarthy, Mary H., DO, Metropolitan Pediatrics

McCarthy, Timothy A., MD, Virginia Cancer Specialists - Fairfax

McCarville, Patrick B., MD, Graduate Medical Education Office

McClintock, William M., MD, Pediatric Specialists of Virginia

McCue, John F., DO, Mountainside Medicine

McKenzie, Bryan A., MD, Otolaryngology Associates PC

McKenzie, Reece, MD, Graduate Medical Education Office

McKnight, Alice M, MD, Physicians for Women

McMahon, Kevin P., DO, Graduate Medical Education Office

McMahon, Mark R., MD, OrthoVirginia Inc

McMurray, Robert C., MD, Inova Fairfax Hospital

McRae, Zachary D., MD, Graduate Medical Education Office

Mecherikunnel, Ann, MD, Internal Medicine Center PLC

Medina Agramonte, Georgina M., MD, Graduate Medical Education Office

Meehan, Kelly M., MD, Kaiser Permanente Springfield/Woodbridge

Mehan, Vineet, MD, Dominion Plastic Surgery

Mehra, Rinku, MD, Pediatric Specialists of Virginia

Mehta, Radhika B., DO, Fairfax Internal Medicine Associates

Mehta, Tulsi K, MD, Mid Atlantic Permanente Medical Group

Mekonnen, Dawit G., MD, Fort Belvoir Community Hospital

Melamud, Alexander, MD, Retina Group of Washington - Sterling

Mellis, Michael G., MD, Northern Virginia ENT Associates

Melnick, Gary N., MD, Capital Women's Care

Meltzer, Noah E., MD, Mid Atlantic Permanente Medical Group

Page 22: Appendix B Covered Entities and Covered Provider List

Melvin, Thuy-Anh N., MD, Mid Atlantic Permanente Medical Group

Mendelsohn, Richard S., DPM, Family Foot and Ankle Centers

Menon, Varun K., MD, Graduate Medical Education Office

Merdad, Hisham E, BDS, Easy Dental Care

Merriman, Samar B., MD, Centreville Ob/Gyn

Mesbahi, Ali N., MD, National Center for Plastic Surgery

Meyer, Richard S, MD, Phillips and Green MD PA

Meyer, Tiffany Lynne, MD, NOVA Pediatrics Ltd

Micci, Luca, MD, Graduate Medical Education Office

Michaels, Joseph, V MD, Michaels Aesthetic and Reconstructive Plastic Surgery

Miller, Amanda J., MD, Graduate Medical Education Office

Miller, Bethanne K, MD, Virginia Hospital Center

Miller, David R., MD, Town Center Orthopaedic Associates PC

Miller, Michael P., MD, St Mary's Hospital

Mills, Cathleen S, MD, Capital Women's Care

Minarcik, John R., Jr. MD, Retina Group of Washington - Fairfax

Minton, Stephen M., MD, Alexandria Primary Care Associates

Miraliakbari, Reza, MD, Plastic Surgery and Dermatology Associates LLC

Mircea, Mirela L, MD, Family Medicine Associates of Alexandria

Mirkin, Kenneth R., MD, Gastro Health

Mirmirani, Nooreddin, MD, Nova Institute of Psychiatry

Misak, Monika M., MD, Graduate Medical Education Office

Mitchell, John D, MD, Mitchell Eye Institute PC

Mittal, Sumit, DO, Graduate Medical Education Office

Miyamoto, Ryan G., MD, Fair Oaks Orthopedic Associates Inc

Miyanari, Akira, MD, Graduate Medical Education Office

Moak, Jeffrey P., MD, Children's National Health System

Moalemi, Azita, MD, Amelia Heart and Vascular Center PC

Moats, Courtney A., MD, Capital Area Pediatrics - Ryan Park

Mobley, Jonathan Michael, MD, Fair Oaks Urology

Modi, Navita, MD, Women's Health Care Specialists

Modlinger, Paul S., MD, Virginia Nephrology Group

Moghissi, Jasmine W., MD, Jasmine W Moghissi MD

Mohler, Troy Randolph, MD, Leesburg Sterling Family Practice

Mohtat, Davoud, MD, Pediatric Specialists of Virginia

Moles, Ken L., MD, Burke Family Practice PC

Momeni, Mahnaz, MD, Arthritis and Rheumatology Clinical Center of Northern Virginia

Monfared, Ashkan, MD, GW Medical Faculty Associates

Montano, Carolina M., MD, Graduate Medical Education Office

Monti, Richard A, Jr. MD, Neurology Center of Fairfax

Montilla, Lino C, MD, Annandale OBGYN

Mook, William R., MD, OrthoVirginia Inc

Moore, Clen Damon Miguel, MD, Pediatric Healthcare

Moore, Natalie S., MD, Capital Women's Care

Moores, Leon E., MD, Pediatric Specialists of Virginia

Mora, Michelle M, DO, Real Time Neuromonitoring Associates

Moraes, Leandro P, MD, Oncology/Hematology of Loudoun and Reston

Page 23: Appendix B Covered Entities and Covered Provider List

Morea, Lauren N., DO, TPG Pediatrics

Morgan, David M., MD, DDS, David M Morgan DDS MD PLC

Morin, Emily L, MD, Mitchell Eye Institute PC

Moroux, Meghan G., MD, Eye Specialists and Surgeons of Northern Virginia

Morozova, Olga M, MD, Pediatric Specialists of Virginia

Morris, Edward F., MD, Capital Area Pediatrics - Vienna

Morris, Thomas F, DO, Ashby Ponds Medical Center

Mortazavi, Ala S, MD, Virginia Pulmonary Associates

Moshirfar, Ali, MD, Orthopaedic and Spine Surgery Institute

Motesharrei, Bita, MD, Women's Global Health of Northern Virginia

Mouchahoir, Ely George, MD, Northern Virginia Pediatric Associates

Mountcastle, Timothy S, MD, Mountcastle Plastic Surgery and Vein Institute

Moyer, Katherine M., DO, Pediatric Specialists of Virginia

Mujkic, Adisa, DPM, Family Foot and Ankle Centers

Mulkey, Sarah B., MD, PhD, Children's National Health System

Munis, Raiqa A, MD, Raiqa Munis MD PC

Muronda, Monique R, DPM, Lansdowne Podiatry

Murphy, Bernadette M, MD, Fairfax Pediatric Associates PC

Murray, Ryan C., MD, Otolaryngology Associates PC

Mushtaq, Ednan, MD, ENT and Facial Plastic Surgery

Myers, Lynne D., MD, Northern Virginia Pediatric Associates

Myseros, John S., MD, Children's National Health System

Nagda, Sameer H., MD, Anderson Orthopaedic Clinic - Arlington

Nagell, Scott H, MD, Leesburg Sterling Family Practice

Naghshin, Jahanbakhsh, MD, Pulmonary and Critical Care Associates

Nagle, Jeremy James, DMD, Sibley Nagle Dental Group

Nahabedian, Maurice Y, MD, National Center for Plastic Surgery

Naik, Nehal S., MD, Graduate Medical Education Office

Naimi, Amir, DDS, Northern Virginia Oral and Maxillofacial Surgery Associates

Nakib, Sarah, MD, Complete Dermatology of Virginia

Nakity, Rasha H., MBBS, Graduate Medical Education Office

Nallenweg, Robert C., DO, Graduate Medical Education Office

Naqui, Farha H, MD, Virginia Pediatric and Adolescent Center

Naroji, Syamala Kosuri, MD, Syamala Naroji MD PC

Narvaez, Michael V, MD, Anderson Orthopaedic Clinic - Arlington

Nasrullah, Abu Ahmed, MD, Dulles Eye Associates

Nathan, Michael J., MD, Associates in Otolaryngology

Nawab, Sabahat, MD, CN Internal Medicine

Neacsu, Otilia, MD, Pediatric Specialists of Virginia

Nelson, Joseph T, MD, Anderson Orthopaedic Clinic - Mt Vernon

Nematollahy, Violet, MD, NOVA Pediatrics Ltd

Nemcek, Steven P., MD, Psychiatry Residents

Neufeld, Steven K., MD, The Orthopaedic Foot and Ankle Center

Newton, Thomas C, MD, Pediatric Specialists of Virginia

Ngo, Dinh D., DO, Graduate Medical Education Office

Nguyen, Jane T., MD, Dermatology Center of Loudoun PLC

Nguyen, Lamson D., DO, Pediatrics of Seven Corners

Page 24: Appendix B Covered Entities and Covered Provider List

Nguyen, Ngoc-Ha Thi, MD, Ngoc-Ha Nguyen MD

Nguyen, Phong, MD, Mid Atlantic Permanente Medical Group

Nguyen, Thanh Thi, MD, CNMC Neurology

Nguyen, Tuan Quynh Anh, MD, Anh Nguyen Ophthalmology

Nguyen, Tuc T., MD, Virginia Pediatric Group Ltd

Nguyen, Vincent, MD, Tysons Corner Medical Center - Kaiser Permanente

Nguyen, Vu T., MD, Mid Atlantic Permanente Medical Group

Nicoli, Charles D., MD, Graduate Medical Education Office

Nikkhah Abyaneh, Zohreh, MD, Zohreh Nikkhah Abyaneh MD

Ninan, Jacob Anil, MD, Virginia Cancer Specialists - Alexandria

Niu, Yu N, MD, TPG Pediatrics

NMtest, Testmd7, MD, NOVA GROUP FOR WOMEN

Noble, Clark B., MD, Psychiatry Residents

Nodelman, Lonny Owen, DPM, District Foot and Ankle PLLC

Novak, David Joseph, MD, OrthoVirginia Inc

Nuibe, Andrew M., MD, Pediatric Specialists of Virginia

Nukta, Fadi, MD, Nova Plastic Surgery

Nutankalva, Lavanya, MD, Virginia ID Doctors LLC

Oak, Nikhil R., MD, Mid Atlantic Permanente Medical Group

O'Donoghue, Susan, MD, MedStar Heart and Vascular Institute

Odutola, Jennifer, MD, Loudoun Rheumatology Center

O'Halloran, Laurence R., MD, Fairfax ENT and Facial Plastic Surgery

Ohning, Collin Richard, MD, Retina Group of Washington - Fairfax

Ohriner, William D., MD, Fairfax Pediatric Associates PC

Oh-Tan, Hanita T, MD, Capital Area Pediatrics - Falls Church

O'Leary, Kathleen E., MD, Graduate Medical Education Office

Olivieri, Laura J., MD, Children's National Medical Center

O'Mara, Timothy John, MD, Virginia Pediatric and Adolescent Center

Omorogbe, Ashleigh A., MD, Graduate Medical Education Office

Onesty, Victoria M., DDS, Shohreh Sharif DDS and Associates PC

Onwudiwe, Ogechukwu C, MD, All Phases Dermatology LLC

Oppenheim, Joshua P., MD, Ear Nose and Throat Specialists of Northern Virginia PC

O'Reilly, Ashley G., MD, Ear Nose and Throat Specialists of Northern Virginia PC

Orfaly, Mohammed Tarek, MD, Metropolitan ENT and Facial Plastic Surgery

Organick-Lee, John Y., MD, Graduate Medical Education Office

Orloff, Gregory J., MD, Virginia Cancer Specialists - Fairfax

Oshry, Stacy Y., MD, Virginia Medical Alliance

Osman, Michael H., MD, Retina Group of Washington - Fairfax

Otchy, Daniel Peter, MD, Fairfax Colon and Rectal Surgery

Padidam, Sneha, MD, Retina Group of Washington - Fairfax

Pak, Kevin C., MD, Graduate Medical Education Office

Palagiri, Vandana, MD, Virginia Premium Medical Care

Palmer, Emily D., MD, Capital Area Pediatrics - Falls Church

Palumbo, Elizabeth J., MD, TPG Pediatrics

Paluvoi, Sobha Rani, MD, Sobha R Paluvoi MD

Paluvoi, Srinagesh, MD, Allergy and Asthma Affiliates Inc

Pan, Tiffany J, MD, OrthoVirginia Inc

Page 25: Appendix B Covered Entities and Covered Provider List

Panitz, Polly J., MD, Capital Area Pediatrics - Falls Church

Parelhoff, Edward S., MD, Eye Consultants of Northern Virginia PC

Parente, Kathleen O., MD, Pediatric Associates of Alexandria

Parikh, Ami K, DPM, NOVA Foot and Ankle

Parikh, Laura I., MD, Greater Washington Maternal-Fetal Medicine and Genetics

Parikh, Vipul Virendra, MD, Mountain View Internal Medicine and Pediatrics

Park, Jonathan J., MD, DMD, Fairfax Oral and Maxillofacial Surgery

Park, Juliana Y., MD, Juliana Park MD

Parva, Behzad, MD, Parva Plastic Surgery

Pashapour, Ali Z, DMD, Pashapour Oral and Facial Surgery

Pastino, Alexander, DO, Graduate Medical Education Office

Pastor, Antonio B., MD, Endocrinology and Infectious Disease Associates

Pastor, Carmen L., MD, Endocrinology and Infectious Disease Associates

Pasupuleti, Archana, MD, Children's National Health System

Pateder, Dhruv B., MD, Town Center Orthopaedic Associates PC

Patel, Aditya, DO, Graduate Medical Education Office

Patel, Chirag R., MD, DDS, Ashburn OMS PLLC

Patel, Kinjal R, MD, Virginia Nephrology Group

Patel, Nisha R, MD, NoVA Eye MD

Patel, Piyush R., MD, Centrevillle Family Medical Center

Patel, Rachna Amrit, MD, Crestwood Pediatric Associates PC

Patel, Rameshchandra I., MD, Pediatric Specialists of Virginia

Patel, Shree, DO, Capital Area Pediatrics - Sleepy Hollow

Patel, Snehal Raman, MD, DDS, Lorton Dental Implant and Oral Surgery

Patel, Suketu I, MD, DMD, Institute of Facial and Oral Surgery

Patel, Sunil V., MD, Commonwealth Urology

Patel-Donnelly, Dipti, MD, Virginia Cancer Specialists - Fairfax

Patel-Grimm, Sona, MD, Capital Women's Care

Paternostro, Amanda L., MD, The Physician and Midwife Collaborative Practice PC

Patronas, Marena, MD, Virginia Retina Center

Patterson, William, MD, Graduate Medical Education Office

Payette, Christopher J., MD, Graduate Medical Education Office

Peacock, Philip R., DO, Prince William Family Medicine - Manassas An Inova Partner

Pearlman, Adam Michael, MD, Metropolitan Nephrology Associates

Pease, Alison F., MD, Pediatrics of Arlington PLC

Pell, James A., DDS, Oral Surgery Associates of Northern Virginia

Pereira, Aloysius C., MD, Mid Atlantic Permanente Medical Group

Perez, Leonel, Jr. MD, DDS, Gateway Dental and Orthodontics

Perman, Kevin I., MD, Ophthalmic Plastic and Orbital Consultants PC

Petersen, William P., Jr. MD, OrthoVirginia

Peyton, Randall S., MD, Arthritis and Sports Orthopaedics PC

Pfaeffle, Herman O., MD, Graduate Medical Education Office

Pfeffer, Bruce W., MD, Virginia Pediatric and Adolescent Center

Pfundstein, Joann, MD, MDVIP

Pham, Andrew B, MD, The Orthopaedic Center PA

Pham, Michael Dang, DO, Children's National Medical Center

Pham, Nick M., MD, Pham Internal Medicine

Page 26: Appendix B Covered Entities and Covered Provider List

Pham, Tina T, MD, Ob/Gyn Associates of Northern Virginia

Phillips, Jeffrey H., MD, Phillips and Green MD LP

Piccolo, Paulo, MD, National Center for Plastic Surgery

Pierce, Amy L., MD, Capital Area Pediatrics - Falls Church

Pierce, Ayal Z., MD, Graduate Medical Education Office

Piguet, Niccole B., MD, Pediatric Specialists of Virginia

Pilkerton, A Raymond, MD, Retina Group of Washington - Greenbelt

Pillai, Dinesh Kumar, MD, Children's National Medical Center

Pillai, Geetha, MD, Loudoun Internal Medicine Associates

Pillion, Carolina, MD, Capital Area Pediatrics - Ryan Park

Pinckert, Thomas L, MD, Greater Washington Maternal-Fetal Medicine and Genetics

Pinell, Ximena A, MD, Davinci Plastic Surgery

Pingul, Mia Farida M., MD, Pediatric Specialists of Virginia

Plerhoples, Timothy A., MD, Fairfax Colon and Rectal Surgery

Plescia, Marc G, MD, Herndon Family Medicine An Inova Partner

Podolsky, Robert S., MD, Vascular Associates of Northern Virginia PC

Pohl, Hans G., MD, Children's National Health System

Poindexter, Byron D, MD, Austin-Weston Center

Polcz, Jeanette E., MD, Inova Fairfax Hospital

Pollner, Jane H, MD, Infectious Disease Consultants

Pontz, Bradford S, MD, NOVAMED Associates

Pooyan, Payam, MD, Pulmonary and Critical Care Associates

Popkin, Shayna J., DO, Psychiatry Residents

Popova, Margarita, MD, Graduate Medical Education Office

Porter, Douglas R, MD, Real Time Neuromonitoring Associates

Potru, Rachana, MD, Gastroenterology Center of Northern Virginia

Pottanat, Cissy P., MD, Center for Primary Care and Geriatrics

Pournaras, Stephen W., MD, Fair Oaks Orthopedic Associates Inc

Powers, Suzanne M., MD, Reston Town Center Pediatrics

Pozarny, Edward S., DPM, Arlington Podiatry Center

Prasad, Ashok J., MD, Oracle Heart and Vascular

Prasad, Channavajjala M., MD, Crossroads Professional Counseling Centers

Prasanna, Vikram, MD, Carient Heart and Vascular PC

Prat, Elisabetta, MD, McLean Pediatric Associates

Preciado, Diego A., MD, Pediatric Specialists of Virginia LLC

Prescott, Amy, MD, Graduate Medical Education Office

Press, Cyrus M, MD, NOVA Orthopedic and Spine Care

Price, Gordon W, MD, Center for Plastic Surgery

Price, Shannon E, MD, Farrell Pediatrics

Procaccino, Frank, MD, Gastro Health

Prosky, Martin G., MD, Northern Virginia Gastrointestinal Associates Ltd

Prosper, Guy D, MD, Capital Area Pediatrics - Sleepy Hollow

Protopapas, Marina, DO, National Spine and Pain Centers

Quinn, Meghan E., MD, Psychiatry Residents

Quion, Jun Anthony Ventura, MD, Dominion Cardiovascular Associates PC

Rad, Ariel N., MD, PhD, Sherber and Rad

Radley, Steven J., MD, Occupational Medical Services

Page 27: Appendix B Covered Entities and Covered Provider List

Raghuram, Sheela N, MD, Mid Atlantic Permanente Medical Group

Rahbar, Rodeen, MD, Surgical Associates Chartered

Rahimi-Saber, Anahita, MD, Graduate Medical Education Office

Rahman, Rashida K., MD, Kidney and Hypertension Specialists PLLC

Rai, Prithviraj B., MD, Oracle Heart and Vascular

Railan, Veena V., MD, Dulles Medical Center LLC

Raizman, Courtney Cutler, MD, Metropolitan ENT and Facial Plastic Surgery

Rajendra, Rangappa, MD, Oncology/Hematology of Loudoun and Reston

Rajjoub, Lamise Zouka, MD, Silk Vision and Surgical Center

Rakowski, Thomas Anthony, MD, Virginia Nephrology Group

Ramallo, Jorge I, MD, Arlington-Fairfax Clinic

Ramaswamy, Devanhalli, MD, Ramaswamy Cardiology

Ramaswamy, Isabel J., MD, Metropolitan Pediatrics

Rambhia, Milly T, MD, Mid Atlantic Permanente Medical Group

Ramdass, Roland S, DPM, Foot and Ankle Center - Winchester

Ramilo, Paul B, MD, Infectious Diseases Specialists of Virginia LLC

Ramin, Nasir, MD, Centreville Medical Practice

Rampal, Angelika, MD, Reston Town Center Pediatrics

Ramsey, Courtney A, MD, Capital Women's Care

Ramsey, Katherine, MD, Mid Atlantic Permanente Medical Group

Rana, Irmindra Singh, MD, Irmindra Rana MD PC

Rana, Jeevindra S., MD, Francis Rana and Sappington MD

Rana, Khalid R., MD, Neurology Care Center

Rana, Naila N, MD, Neurology Care Center

Rana, Preeti, MD, Irmindra Rana MD PC

Ranieri, Gerard J., DPM, Lake Ridge Podiatry

Rao, Chethana, MD, Prima Medicine

Rao, Samir S., MD, Center for Plastic Surgery

Raparla, Neha, MD, Graduate Medical Education Office

Raphel, Kristin N., MD, Graduate Medical Education Office

Rappaport, Patricia F., MD, Town Pediatrics PC

Rashid, Lubna M, MD, Mid Atlantic Permanente Medical Group

Rashkin, Jason M., MD, Mid Atlantic Permanente Medical Group

Rayne, Anna K., MD, Graduate Medical Education Office

Razavi, Mohammad H., MD, M H Razavi MD

Razdan, Shinjni, DDS, Banaji Pediatric Dental Specialists

Reddy, Manoj, MD, Metropolitan Nephrology Associates

Reece-Stremtan, Sarah Jennifer, MD, Children's National Health System

Reed, Alexander B., MD, Graduate Medical Education Office

Reeves, James D, MD, Town Center Orthopaedic Associates PC

Regunathan-Shenk, Renu, MD, George Washington University Medical Faculty Associates

Reh, Andrea E, MD, Shady Grove Fertility

Rehman, Tariq, MD, Washington Nephrology Associates

Reichlin, Katy M., DO, Graduate Medical Education Office

Reid, Robert L, MD, Virginia Cancer Specialists - Fairfax

Reilly, Brian K, MD, Pediatric Specialists of Virginia

Reilly, Gayatri S, MD, Retina Group of Washington - Fairfax

Page 28: Appendix B Covered Entities and Covered Provider List

Rempfer, Elizabeth S., MD, Graduate Medical Education Office

Rennert, Douglas A., MD, Pulmonary and Critical Care Associates

Rentz, Anita G, MD, Herndon Family Medicine An Inova Partner

Rex, Stephen W., MD, Mount Vernon Concierge Care

Reynolds, Benjamin P, MD, Farrell Pediatrics

Rhee, Henry H, MD, Infectious Diseases Specialists of Virginia LLC

Rhee, Thomas H., MD, Thomas H Rhee MD

Rhodes, Valerie May, DO, Leesburg Sterling Family Practice

Richter, Josh, MD, Graduate Medical Education Office

Rifaat, Adam I., MD, Graduate Medical Education Office

Rizvi, Irfan A, MD, Tysons Corner Medical Center - Kaiser Permanente

Ro, Michael K., MD, Ashby Ponds Medical Center

Roberts, Anne S., MD, Kaiser Permanente Tysons Corner Medical Center

Roberts-Borden, Michelle Yvonne, MD, Loudoun Ob-Gyn

Robertson, Steven F, Jr. DDS, Fairfax Oral and Maxillofacial Surgery

Robinson, Tyrone L., MD, Fairfax Internal Medicine Associates

Robinson, William H., DO, Graduate Medical Education Office

Rodrigues, Lori, MD, Capital Area Pediatrics - Ryan Park

Rodriguez, Patricia A., MD, Virginia Cancer Specialists - Arlington

Roeser, Michelle Marie, MD, Ear Nose and Throat Specialists of Northern Virginia PC

Rojas Martinez, Hector A., MD, Graduate Medical Education Office

Romero, Gonzalo L., MD, Gonzalo Romero MD PC

Ronis, Tova E, MD, Pediatric Specialists of Virginia

Root, Cassie Gyuricza, MD, Nirschl Orthopaedic Center

Rosen, Leonard A., MD, Leonard A Rosen MD

Rosenbaum-Khitrik, Rachel Dana, MD, Fairfax Pediatric Associates PC

Rosenberg, Emily Claire, DDS, Growing Smiles of Northern Virginia

Rosenberg, Jessica J., MD, Inova Fairfax Hospital

Ross, Paul B., DPM, The Podiatry Center

Rossbach, Christopher N., MD, Virginia Pediatric and Adolescent Center

Rothman, Jeffrey R., DDS, Alexandria Oral Surgery

Rothschild, Peter G, MD, Capital Women's Care

Royston, Norris A, Jr. MD, Countryside Family Practice

Rubenstein, Seth A, DPM, Foot and Ankle Specialists of the MidAtlantic

Rubinstein, Mark I., MD, Otolaryngology Associates PC

Rubio, David R., MD, Virginia Pediatric Group Ltd

Ruda, Rachel, MD, Graduate Medical Education Office

Ruh, Nicole B., MD, Graduate Medical Education Office

Rushton, Harry G, Jr. MD, Children's National Medical Center

Russow, Lindsay N., MD, Whole Child Pediatrics

Rutland, Costanza D., MD, ObGyn Consultants of Fairfax VA LLC

Saavedra-Delgado, Ana Maria P., MD, RICHARD R ROSENTHAL MD LTD

Saba, Amer A., MD, Elite Plastic Surgery LLC

Sabet, Haideh Y., MD, Neurological Institute of Northern Virginia

Sable, Craig A, MD, Children's National Medical Center

Sachdeva, Shabnam, MD, Total Health Medical Center

Sacoto, Maria T., MD, Sacoto Pediatrics PC

Page 29: Appendix B Covered Entities and Covered Provider List

Saddler, Stephen C, MD, Anderson Orthopaedic Clinic - Mt Vernon

Safavi, Frough N., MD, Psychiatry Residents

Saffan, David Sol, MD, Shady Grove Fertility

Saffran, Barry, DPM, Center for Foot and Ankle Care PC

Saha, Sudip K., MD, Kaiser Permanente Tysons Corner Medical Center

Said, Rostana, DPM, Fairfax Foot and Ankle Center

Saidi, Iyad S., MD, Metropolitan ENT and Facial Plastic Surgery

Sailon, Alexander M., MD, Alexander M Sailon MD

Saleem, Gulrukh, MD, Loudoun Rheumatology Center

Salsbury, Carl A., MD, Capital Area Pediatrics - Falls Church

Salvo, Michaela B., MD, Graduate Medical Education Office

Sami-Zakhari, Iman R., MD, Pediatric Specialists of Virginia

Sampat, Keeran, MD, Virginia Cancer Specialists - Arlington

Sanaei Ardekani, Mohammad, MD, Kidney and Hypertension Specialists PLLC

Sanchez, Caroline, MD, Fairfax Colon and Rectal Surgery

Sanders, Thomas H, MD, The Orthopaedic Foot and Ankle Center

Sanderson, Alicia R, MD, Associates in Otolaryngology

Sandhu, Sandeep K, MD, Mid Atlantic Permanente Medical Group

Santiago, Gabriel F., MD, Aesthetic Medicine and Surgery PLLC

Santiago, Jennifer R., MD, Ob/Gyn Associates of Northern Virginia

Santini, Angela M., MD, Virginia Spine and Sports Orthopaedics

Santos Leal, Alejandro, MD, Diabetes and Endocrine Care of Virginia LLC

Santos, Domiciano J, MD, Children's National Medical Center

Sappington, Richard F., MD, Francis Rana and Sappington MD

Sarajari, Susan, MD, Dominion Fertility and Endocrinology

Sarhan, Abbaa, MD, Genetics and IVF Institute

Sarma, Amitabha, MD, Virginia Cancer Specialists - Loudoun

Sawyer, Rebecca B., MD, Capital Area Pediatrics - Vienna

Schaublin, Greg A., MD, Real Time Neuromonitoring Associates

Schefkind, Mark J, MD, Mark J Schefkind MD PC

Schipper, Oliver N., MD, Anderson Orthopaedic Clinic - Arlington

Schloff, Lizann, MD, Lizann Schloff MD

Scholnick, Kyle, DPM, Mount Vernon Internal Medicine - Lorton

Schorin, Marshall A., MD, Pediatric Specialists of Virginia

Schreiber, John Michael, MD, Pediatric Specialists of Virginia

Schreiner, David A., MD, David A Schreiner LLC

Schrier, David N, MD, Mid Atlantic Permanente Medical Group

Schulman, Caroline, MD, Graduate Medical Education Office

Schulz, Caroline E., DO, Metropolitan Pediatrics

Schutzenhofer, Emily M., MD, Psychiatry Residents

Schwartz, Gina A., MD, NOVA Pediatrics Ltd

Schweisthal, Paul E., MD, Capital Area Pediatrics - Vienna

Scott, Frederick Donald, Jr. MD, OrthoVirginia Inc

Scott, Hope T, MD, Reston Town Center Pediatrics

Scott, Kevin R., MD, Eye Plastic Associates

Scott, LaTraia S., MD, Graduate Medical Education Office

Scudera, Peter L., MD, Gastro Health

Page 30: Appendix B Covered Entities and Covered Provider List

Sebastian, Melinda M., MD, Melinda Sebastian PC

Seestedt, Richard C., Jr. MD, Neurology Center of Fairfax

Sehgal, Sona, MD, Children's National Health System

Seidman, Laurence A, MD, NOVA Pediatrics Ltd

Selassie, Leelie M, MD, e-ICU

Selekman, Rachel E, MD, Pediatric Specialists of Virginia

Seo-Mayer, Patricia W., MD, Pediatric Specialists of Virginia

Sershon, Robert A, MD, Anderson Orthopaedic Clinic - Mt Vernon

Sethi, Kamaljit K., MD, Greenspring Medical Center

Sexton, Michael E., MD, Psychiatry Residents

Shabshab, Samir F., MD, Metropolitan Nephrology Associates

Shah, Harshal P, DO, Metropolitan Nephrology Associates

Shah, Jyotsna Hebbar, MD, Ashburn Pediatrics

Shah, Manish H., MD, MedStar Heart and Vascular Institute

Shah, Mitesh V., DO, Metropolitan Nephrology Associates

Shah, Monica Shashikant, MD, Children's National Health System

Shah, Neel K, MD, Carient Heart and Vascular PC

Shah, Rupa N., MD, Stafford Hospital

Shahabadi, Shabnam, MD, Plastic Surgery and Dermatology Associates LLC

Shahin, Bahman, MD, Wellness Pediatrics

Shahin, Hassan, MD, Washington Nephrology Associates

Shami, Imad E., DMD, Imad Shami MD Inc

Shapiro, Melissa L., MD, Graduate Medical Education Office

Sharif, Shohreh, DDS, Shohreh Sharif DDS and Associates PC

Sharma, Mudit, MD, Virginia Spine Specialists

Shasti, Mark, MD, Orthopaedic and Spine Surgery Institute

Shaver, Timothy R., MD, Specialty Physicians of Northern Virginia

Shea, Chloe J., MD, Graduate Medical Education Office

Shebaclo, Kareen, MD, Graduate Medical Education Office

Sheppard, Evan D, MD, Pediatric Specialists of Virginia

Sherer, Michael A., MD, Fairfax-Falls Church Community Services Board

Sherwin, Elizabeth Diann, MD, Children's National Medical Center

Shihabi, Amro H., MD, DMD, Pediatric Specialists of Virginia LLC

Shin, Jiyeon E, MD, Greenbriar Ob-Gyn PC

Shin, Wonsock, MD, Maple Medical Group

Shipley, Amy A., MD, Farrell Pediatrics

Shonuga, Owolabi Adebayo, MD, NOVA Orthopedic and Spine Care

Shropshire, Lowry C., MD, Pediatric Associates of Alexandria

Shukur, Nebiyu, MD, Graduate Medical Education Office

Shuman, Marla L, MD, Pulmonary and Critical Care Specialists of Northern Virginia PC

Siddiqa, Aisha, MD, Psychiatry Residents

Siddiqui, Muhammad Mannan, MD, Virginia Cancer Specialists - Fairfax

Sideridis, Andreas, MD, Pediatric Associates of Alexandria

Sidhu, Balbir S, MD, Carient Heart and Vascular PC

Sidhu, Navneet K., MD, Navneet K Sidhu MD

Sidhu, Preetika K., MD, Stone Springs Hospital Center

Siegel, Allison Jill, MD, Capital Area Pediatrics - Falls Church

Page 31: Appendix B Covered Entities and Covered Provider List

Siegel, Andrew J., MD, Eye Physicians of Virginia

Siegel, Marc E., MD, Physicians for Women

Sigal, Robert K., MD, Austin-Weston Center

Sikka, Natalie A, MD, Pediatric Specialists of Virginia

Silao-Solomon, Anne B., MD, Capital Caring - Aldie

Silas, Glen, MD, Capital Women's Care

Silis, George P., MD, Franconia Internists PC

Silk, Muhammad W, MD, Silk Vision and Surgical Center

Silveri, Christopher P., MD, Fair Oaks Orthopedic Associates Inc

Silverstein, Michael A, MD, Herndon Family Medicine An Inova Partner

Sims, Dodd A., MD, Alexandria Primary Care Associates

Sims, Leslie, MD, Mid Atlantic Permanente Medical Group

Simsarian, James P., MD, Neurology Center of Fairfax

Singh, Ameet, MD, GW Medical Faculty Associates

Singh, Navin K, MD, NOVA Reconstructive Surgery

Singh, Rahul, MD, NOVACure Consultants

Singh, Rajdeep, MD, Psychiatry Residents

Singh, Surinder P, MD, Mid Atlantic Permanente Medical Group

Singla, Shyamli, MD, Pediatric Specialists of Virginia

Singletary, Andrew C., MD, Graduate Medical Education Office

Sinha, Pranava, MD, Children's National Health System

Sinha, Vivek Pratap, MD, Belleview Medical Partners PC

Sinsioco, Claudine Geronimo, MD, Children's National Medical Center

Sirlin, Scott Michael, MD, Scott M Sirlin MD

Sklar, Lisa F., MD, Lisa F Sklar MD

Skrabal, Joseph R., MD, Graduate Medical Education Office

Smarth, Carole A., MD, Leesburg Sterling Family Practice

Smith, Mary N, MD, Virginia Women's Health Associates

Smith, Stephanie, MD, Pediatric Specialists of Virginia

Sobel, Douglas Owen, MD, MedStar Georgetown University Hospital - Pediatric

Endocrinology Division

Soh, Eugene K., MD, Carient Heart and Vascular PC

Soltany, Mark A., MD, Otolaryngology Associates PC

Sommer, Jessica L, DO, Annandale OBGYN

Sommerfeldt, John M., MD, Graduate Medical Education Office

Soni, Depak, MD, Pulmonary and Critical Care Specialists of Northern Virginia PC

Soni, Marsha D., MD, Infectious Diseases Specialists of Virginia LLC

Sonnenberg, Derek M., MD, Graduate Medical Education Office

Sood, Arjun, MD, AVAM Cancer and Blood Specialists LLC

Sopko, George, MD, Seven Corners Medical Center

Sothinathan, Renuka, MD, Virginia Nephrology Group

Spira, Alexander I., MD, Virginia Cancer Specialists - Fairfax

Sridharan, Divya Chakravarthy, MD, Annandale OBGYN

Srinivasa, Vijay K, MD, Fairfax Pediatric Associates PC

St. Clair, Crystal, MD, Mid Atlantic Permanente Medical Group

Stam-Cheatham, Annick, MD, Annandale Family Medicine

Stange, Christopher J., MD, Graduate Medical Education Office

Page 32: Appendix B Covered Entities and Covered Provider List

Stas, Michelle P., MD, Capital Women's Care

Stashower, Mitchell E., MD, The Clinical Skin Center of Northern Virginia

Steele, Samuel L., Jr. MD, Graduate Medical Education Office

Stein, Lawrence M., MD, Pulmonary and Medical Associates of Northern Virginia Ltd

Stenberg, Robert G., MD, Carient Heart and Vascular PC

Stephenson, Randolph R, MD, Neurology Center of Fairfax

Stern, Harvey J., MD, Genetics and IVF Institute

Stern, Lawrence E., MD, Fairfax Colon and Rectal Surgery

Stern, Mindy P, MD, Whole Child Pediatrics

Stern, Neil M., MD, Mid Atlantic Permanente Medical Group

Stokes, Chauncey C., MD, Loudoun Women's Healthcare Associates

Stone, Amy R., MD, Neurology Center of Fairfax

Strahan, Jamison Eugene, MD, The Clinical Skin Center of Northern Virginia

Strickland, Frank, DDS, Village Oral and Implant Surgery

Strouse, David A, MD, MedStar Heart and Vascular Institute

Subramanian, Varagur Bala Ramachandran, MD, Washington Nephrology Associates

Suh, James J., MD, Internal Medicine Center of Virginia

Suh, Yongsook V, MD, Victoria Plastic Surgery Center Inc

Sullivan, Elixabeth L, MD, Virginia Nephrology Group

Sullivan, Mark F, MD, Mount Vernon Internal Medicine - Springfield

Sultan, Mohamed A, MD, Gastro Health

Super, Eric J., MD, Graduate Medical Education Office

Suri, Amit K., MD, Mid Atlantic Permanente Medical Group

Susco, Michelle S., MD, Reston Town Center Pediatrics

Suskiewicz, Lewis, MD, Virginia Medical Alliance

Swamy, Ravi S., MD, Metropolitan ENT and Facial Plastic Surgery

Swanson, Stephanie, MD, Virginia Women's Health Associates Ltd

Swelstad, Brad B., MD, Shady Grove Fertility

Switaj, Paul J, MD, OrthoVirginia Inc

Syed, Sadiq N, MD, Sadiq N Syed MD LLC DBA Maryland Retina

Sylvester, Salvador M., DO, Occupational Medical Services

Tabaie, Sean, MD, Pediatric Specialists of Virginia

Tadros, Reem Kaiser, MD, Fair Oaks Skin Care Center

Taheri, Hamid, MD, Carient Heart and Vascular PC

Tahira, Mussarat, MD, Alkarim Medical Clinic

Tainsh, Cynthia S, MD, Real Time Neuromonitoring Associates

Tajick, Alireza G., MD, Mid Atlantic Permanente Medical Group

Tajkarimi, Kambiz, MD, Urology Surgical Consulting PC

Takiar, Vani, DMD, Frederick Pediatric Dentistry

Talanin, Nickolai Y, MD, Dermatology Associates of Northern Virginia

Talib, Sawsan A., MD, Sawsan A Talib MD PLLC

Tam, Melanie, MD, Psychiatry Residents

Tan, Pamela, MD, Pamela Tan Plastic Surgery

Tang, Christine, DO, Metropolitan Pediatrics

Tattelbaum, Adam G., MD, Washington Plastic Surgery Group

Tavallali, Morad, MD, Tavallali Plastic Surgery

Taylor, Cole R, MD, OrthoVirginia Inc

Page 33: Appendix B Covered Entities and Covered Provider List

Taylor, Priscilla R., MD, Telegraph Corner Family Medicine

Tebyanian, Naghmeh, MD, Amelia Heart and Vascular Center PC

Tefera, Girma K., MD, Glob All Primary Care

Tehrani, Mahsa R., MD, Arthritis and Rheumatology Clinical Center of Northern Virginia

Temme, Joel M., MD, Alexandria Internal Medicine

Tetemke, Tesfaye, MD, Skyline Medical Center

Tetteyfio, Geoffrey A., MD, Elden Street Pediatrics

Thadani, Anisha R, MD, Gastro Health

Thiede, Chau Lam, MD, McLean Pediatric Associates

Thomaides, Athanasios, MD, MedStar Heart and Vascular Institute

Thomas, Albert Bruce, II MD, BodyLogicMD of Northern Virginia

Thomas, Brett T., MD, Psychiatry Residents

Thomas, Peter R, MD, OrthoVirginia Inc

Thompson, Daniel E., MD, OrthoVirginia Inc

Thompson, Jennifer B, MD, Loudoun Ob-Gyn

Tieu, Kathy D, MD, The Clinical Skin Center of Northern Virginia

Tillou, John D., MD, Fairfax Colon and Rectal Surgery

Tilman, Laura W, DO, Farrell Pediatrics

Todd, Michael McLain, MD, Skin Cancer Center of Northern Virginia

Ton-That, Han, MD, Han Ton-That MD PC

Toyer, April Joy Johnson, DDS, Lifetime Dental Care

Tracy, Josephine B, MD, Mid Atlantic Permanente Medical Group

Tran, Christine L, MD, Capital Women's Care

Tran, Sang V, MD, Sang Van Tran MD

Tran, Tricia T., DDS, Kidz Dentistry

Tran, Vinh B., MD, NOVA Orthopaedics and Sports Medicine Center

Treff, David M., DDS, Pediatric Dentistry of Burke

Tretiak, Mark A, MD, Tysons Corner Medical Center - Kaiser Permanente

Trinh, Truc T, MD, Gastroenterology Center of Northern Virginia

Tsai, James C, MD, Mid Atlantic Permanente Medical Group

Tsai, John T, MD, Fairfax Pediatric Associates PC

Tsang, Christopher W., MD, ENT and Facial Plastic Surgery

Tsuchida, Tammy N, MD, Children's National Medical Center

Tuwiner, Seth M., MD, Virginia Center for Neuroscience

Tyabji, Alifiya A, MD, NOVA Pediatrics Ltd

Tyan, Paul I, MD, Capital Women's Care

Tylenda, Carleen, MD, Mount Vernon Internal Medicine - Alexandria

Udoff, Laurence C., MD, Genetics and IVF Institute

Ujevic, Neven A, MD, Neven A Ujevic MD

Umapathy, Siddardth, DO, Graduate Medical Education Office

Umfrey, Leah T., MD, Graduate Medical Education Office

Unikel, Melody R., MD, Virginia Pediatric Group Ltd

Uyemura, Trevor M., MD, Infectious Disease Consultants

Vakharia, Priya S, MD, Retina Group of Washington - Fairfax

Vallone, Eric S, MD, NOVAMED Associates

Vamadevan, Arunan Siva, MD, Gastro Health

Van Looveren, Jessica Eva, MD, Eye Consultants of Northern Virginia PC

Page 34: Appendix B Covered Entities and Covered Provider List

Vandervort, Gene Allen, Jr. MD, DDS, Loudoun Oral and Maxillofacial Surgery

Vara, Anthony R., MD, Fair Oaks Urology

Varblow, Karin F., MD, Karin Varblow MD

Varela, Carly, MD, Pediatric Specialists of Virginia

Vargas, Hernan I., MD, Virginia Cancer Specialists - Fair Oaks

Varma, Jay D, MD, Vascular and Interventional Associates of Fairfax Radiological

Consultants

Varnell, Crandall K., MD, Graduate Medical Education Office

Vaughns, Janelle D., MD, Children's National Medical Center

Vemana, Srikrishna, MD, Northern Virginia Gastrointestinal Associates Ltd

Venturi, Mark L, MD, National Center for Plastic Surgery

Verma, Anil, MD, Anil Verma MD PC

Vernon, Hamilton S., DO, Graduate Medical Education Office

Vetter, Steven R, DPM, Oakton Foot and Ankle Center PLLC

Vigliante, Craig Ernest, MD, DMD, Potomac Surgical Arts PC

Villareal, Charisse N., MD, Graduate Medical Education Office

Vivatrat, Nita, MD, Virginia Pediatric and Adolescent Center

Vo, Thuy Phuong T, MD, Prince William Family Medicine - Manassas An Inova Partner

Voigt, Stanley, MD, Associates in Otolaryngology

Von Pechmann, Walter S., MD, Mid Atlantic Urogynecology and Pelvic Surgery

Vo-Nguyen, Trang T, MD, The Virginia Institute for Surgical Arts

Vu, Cuong D, MD, Retina Group of Washington - Rockville

Vu, Ngoc Tran, MD, Adult and Pediatric Allergy Center of Northern Virginia

Vu, Thuy-Anh H., MD, Pediatric Specialists of Virginia

Wachter, Katrina L., MD, Psychiatry Residents

Waddell-Jiggetts, Beverly J., MD, Mid Atlantic Permanente Medical Group

Wahab, Abdul, MD, Medical Surgical Group

Wahba, Leina M., MD, Capital Area Pediatrics - Vienna

Wait, Tirzah W., MD, Graduate Medical Education Office

Waldman, Lindsey A., MD, Pediatric Specialists of Virginia

Walker, Sheneika M, MD, Mid Atlantic Permanente Medical Group

Wallach, Corey J., MD, Anderson Orthopaedic Clinic - Arlington

Waller, Allison Christine, MD, Pediatric Associates of Alexandria

Walters, Suzanne J, MD, Nirschl Orthopaedic Center

Wang, Jessica S., MD, Inova Fairfax Hospital

Wang, Julie Y, DO, Fairfax Internal Medicine Associates

Waraich, Shahid A., MD, Fort Belvoir Community Hospital

Wasan, Anita Nanda, MD, Allergy and Asthma Center

Wasan, Sanjeev M., MD, Gastroenterology and Hepatology Center

Waseem, Samia, MD, Raiqa Munis MD PC

Wasique, Maria, MD, Ashburn Internal Medicine

Waters, Kenneth W, MD, Mid Atlantic Permanente Medical Group

Watkin, Terry, MD, Pediatric Specialists of Virginia

Watkins, Frederick H., MD, Washington Plastic Surgery Group

Watson, Charles H., MD, Capital Area Pediatrics - Falls Church

Watson, Joseph Clark, MD, Cerebrum MD

Wattenmaker, Ian M., MD, Orthopaedic and Spine Surgery Institute

Page 35: Appendix B Covered Entities and Covered Provider List

Watts, Elizabeth H, MD, Capital Area Pediatrics - Vienna

Waud, Kay I., MD, Dominion Fertility and Endocrinology

Waxman, Phyllis Gail, MD, Capital Area Pediatrics - Falls Church

Way, Emily E., MD, Pediatric Specialists of Virginia

Weaver, Elizabeth M., MD, Elizabeth Weaver MD PLC

Weaver, Kevin M, MD, Herndon Family Medicine An Inova Partner

Weber, Chase B., MD, Graduate Medical Education Office

Weber, Jacquelyn M., MD, Mitchell Eye Institute PC

Weckbach, Alexa R., MD, Graduate Medical Education Office

Weidner, Zachary David, MD, The Centers for Advanced Orthopaedics

Weingold, Daniel E., MD, OrthoVirginia Inc

Weinroth, Stephen E., MD, Infectious Disease Consultants

Weintritt, David C, MD, National Breast Center

Welgoss, Jeffrey A, MD, Mid Atlantic Urogynecology and Pelvic Surgery

Wenzel, Michael Thomas, MD, Loudoun Valley Family Practice

Werner, Jordan A, MD, Anderson Orthopedic Research Institute

Weskamp, Andrew L., DO, Graduate Medical Education Office

West, Eileen C., MD, Eileen West MD and Associates

West, Michael D., DO, Graduate Medical Education Office

Weston, George W., MD, Austin-Weston Center

Westphal, Nicole M., MD, Graduate Medical Education Office

White, Jeffrey Derrick, MD, Oncology/Hematology of Loudoun and Reston

White, Molly J., MD, Prince William Family Medicine - Manassas An Inova Partner

Whitescarver, Todd D., DO, Graduate Medical Education Office

Widder, Shlomo, MD, Cosmetic and Plastic Surgery Center

Wijetilleke, Padma, MD, Padma Wijetilleke MD

Wilson, Nicholas J, MD, Gastro Health

Wilson, Simon A., MD, Mid Atlantic Permanente Medical Group

Win, Sithu, MD, Elden Street Pediatrics

Wise, Cristin L., MD, TPG Pediatrics

Wittig, Suzanne H, MD, MD Squared

Wodajo, Felasfa M., MD, Virginia Cancer Specialists - Fairfax

Wohlrab, Juliette L, MD, Pulmonary Associates Ltd

Woldeher, Getachew Yezengaw, MD, Blue Nile Medical Center

Wolfe, Jaime L., MD, Pediatric Specialists of Virginia

Wong, Edwin H., MD, Herndon Family Medicine An Inova Partner

Wong, Randall V., MD, Dressler Ophthalmology Associates

Woo, Jung John, MD, Advanced Retina Center

Wright, Colleen K, MD, Leesburg Sterling Family Practice

Wu, Angela, MD, Graduate Medical Education Office

Wu, Jane J., MD, Pulmonary and Critical Care Specialists of Northern Virginia PC

Wu, Jennifer K, MD, Digestive Disease Physicians

Wyse, Jacob M., MD, Graduate Medical Education Office

Yang, Bennett, MD, Washington Plastic Surgery Group

Yang, Elizabeth, MD, PhD, Pediatric Specialists of Virginia

Yang, Johnny, MD, Graduate Medical Education Office

Yang, Seol W, MD, Mid Atlantic Permanente Medical Group

Page 36: Appendix B Covered Entities and Covered Provider List

Yang, Steven D., MD, Internal Medicine Physicians of Alexandria

Yao, Lynne P, MD, Pediatric Specialists of Virginia

Yarandi, Niloufarsadat, MD, Graduate Medical Education Office

Yazdani, Shahram, MD, Carient Heart and Vascular PC

Yim, Michael M, MD, Mid Atlantic Permanente Medical Group

Yoo, Jinny K., MD, Fairfax Pediatric Associates PC

Yoon, Alexandra H., MD, Psychiatry Residents

You, Young J, MD, OrthoVirginia Inc

Young, Benjamin Edward, II MD, Gastro Health

Young, Cecilia T., MD, FairfaxMD PLLC

Younghans, Chelsea, MD, Psychiatry Residents

Yousefi, Jamal, MD, Aesthetic and Laser Plastic Surgery Center

Yu, Paul H, MD, Mid Atlantic Permanente Medical Group

Yu, Steve, MD, Steve Yu MD

Yun, Samuel H., MD, Samuel H Yun Ophthalmology PLC

Yusuf, Kawthar, MD, Graduate Medical Education Office

Zaatari, Saad D., MD, Graduate Medical Education Office

Zadeh, Hugh Bozorg, MD, Northern Virginia Oral and Maxillofacial Surgery Associates

Zaheer, M Rafiq, MD, Washington Metropolitan Cardiology Inc

Zahir, Khalique S, MD, Aesthetique Cosmetic and Plastic Surgery LLC

Zakkak, Jamie M., MD, Pediatric Associates of Alexandria

Zangeneh, Farhad, MD, Endocrine Diabetes and Osteoporosis Clinic

Zeh, Debra A., MD, Virginia Allergy and Pediatric Associates

Zeilberger, Christina C., MD, TPG Pediatrics

Zelasko, Jon C., MD, Psychiatry Residents

Zelleke, Tesfaye G, MD, Children's National Health System

Ziaie, Ahmad Z, MD, US Primary and Urgent Care

Zweig, Louis K, MD, Northern Virginia Family Practice Associates

07/2021