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

Khadija Macaully

Individual provider Registered Nurse · NPI 1265146229

Khadija Macaully is a Nurse Practitioner in Reston, Virginia. Qualified in 2022, 4 years ago. Practices with Compassus Op of Virginia LLC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
4
Licensed in
VA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

12018 Sunrise Valley Dr Ste 100
Reston, VA 20191-3444
Phone: (571) 262-2261
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12018 Sunrise Valley Dr Ste 100, Reston, VA 20191-3444 — (571) 262-2261

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024186062 (VA)
Registered Nurse Taxonomy 163W00000X · Licence 0001220128 (VA)

Record details

NPI number1265146229
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 12, 2023
Last updated in NPPESAugust 20, 2025
Certification dateAugust 20, 2025
Mailing address202 Marianne Pl, Stafford, VA 22554-1621

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Compassus Op Of Virginia Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Reston