Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elaheh Bani Ahmad

Individual provider Nurse Practitioner · NPI 1265059760

Elaheh Bani Ahmad is a Nurse Practitioner in Moseley, Virginia. Qualified in 2019, 7 years ago. Practices with Colonial Kidneycare Specialists, PC, a 6-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
7
Licensed in
VA
In the registry since
2020

Practice location Address checks out

8425 Hampton Farms Dr
Moseley, VA 23120-1713
Phone: (180) 493-3287
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 0024179498 (VA)

Record details

NPI number1265059760
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 30, 2020
Last updated in NPPESJune 30, 2020
Certification dateJune 30, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Colonial Kidneycare Specialists, Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount