Registry data as of Aug 27, 2026

Mohammad Shahim Formoly, CSA

Surgical Assistant · Fairfax, VA

Mohammad Shahim Formoly, CSA is a surgical assistant with a practice address in Fairfax, Virginia, and NPI 1992104954, issued on Aug 15, 2014. Check the license with the Virginia board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, loaded Aug 27, 2026 · method · Verify with CMS →

NPPES recordas of Aug 27, 2026
1992104954
Name
Mohammad Shahim Formoly
Credential
CSA
Primary taxonomy
Surgical Assistant 246ZC0007X
Practice location
12011 Lee Jackson Memorial Hwy Ste 501, Fairfax, VA 22033
Phone
(703) 349-1379
Enumerated
Aug 15, 2014
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 12011 Lee Jackson Memorial Hwy Ste 501

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Yama AhmadiSurgical Assistant1891336475
  2. Esam Al Nouman, LSASurgical Assistant1417253816
  3. Susan Arencibia, RNFARegistered Nurse First Assistant1538706171
  4. Cindy Campoverde, CSASurgical Assistant1184996746
  5. Vicente Campoverde, CSASurgical Assistant1619249265
  6. Wengang Cao, SA-CSurgical Assistant1831438936

Verify Mohammad Shahim Formoly in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Virginia board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS, AOA, NCCPA, AANPNot checked
Find the Virginia license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

Surgical Assistant providers in Virginia

There are 305 surgical assistant records in Virginia. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

All 305 in Virginia → Every provider in Fairfax →

Other surgical assistant records in Virginia

  1. Abdi AbdirahmanReston, VA1548149602
  2. Guadalupe Abebe, CST/CSFALeesburg, VA1235001702
  3. Katherine Aguilar, CSFALeesburg, VA1669324026
  4. Waheedullah Ahmadi, CSA, LSAFairfax, VA1851784714
  5. Yama AhmadiFairfax, VA1891336475
  6. Uzra Ahrar Sadiq, LSAFairfax, VA1861226870
  7. Esam Al Nouman, LSAFairfax, VA1417253816
  8. Maria Emilia Alcoba Gutierrez, LSA, CSAFairfax, VA1932084431
  9. Jannell AlinoChesapeake, VA1003592890
  10. Trudy AllenSmithfield, VA1710782446

Common questions

What is Mohammad Shahim Formoly, CSA's NPI number?

Mohammad Shahim Formoly, CSA's National Provider Identifier (NPI) is 1992104954, issued on Aug 15, 2014. An NPI identifies a provider in billing; it is not a license.

Where is Mohammad Shahim Formoly, CSA located?

The NPPES record lists a practice address at 12011 Lee Jackson Memorial Hwy Ste 501, Fairfax, VA, 22033. Phone: (703) 349-1379. Providers update this record themselves, so call before visiting.

How can I verify Mohammad Shahim Formoly, CSA's license?

Search the Virginia board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), loaded Aug 27, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Compiled from official public sources by the editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 27, 2026.