Active NPI
Ali Jadidi, MD
- Emergency Medicine Physician
- Woodbridge, VA
National Provider Identifier
1013010180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0101230761
- Practice address
- 14904 Jefferson Davis Hwy
Suite 207
Woodbridge, VA 22191-3311 - Phone
- (703) 492-1400
- Fax
- (703) 492-0220
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101230761 | VA | Primary |
Addresses
Primary practice location
14904 Jefferson Davis Hwy
Suite 207
Woodbridge, VA 22191-3311
Mailing address
14904 Jefferson Davis Highway
Ste 207
Woodbridge, VA 22191-3908
Phone (703) 492-1400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101230761 | VA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bestpractices, Inc. | Emergency Medicine | Past | Accepting new patients |
| Prince William Pediatrics and Adolescent Center | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Woodbridge, VA
- NPI 1689965865
-
- Emergency Medicine Physician
- Woodbridge, VA
- NPI 1730180944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013010180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14904 JEFFERSON DAVIS HIGHWAY",
"address_2": "STE 207",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221913908",
"telephone_number": "703-492-1400",
"fax_number": "703-492-0220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14904 JEFFERSON DAVIS HWY",
"address_2": "SUITE 207",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221913311",
"telephone_number": "703-492-1400",
"fax_number": "703-492-0220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JADIDI",
"first_name": "ALI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101230761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.