Individual provider Active NPI

Roksana Ghasemzadeh, M.D

  • Specialist
  • Woodbridge, VA
National Provider Identifier
1033128798
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101233103 Issued in VA
Practice address
14573 Potomac Mills Rd
Woodbridge, VA 22192-6808
Phone
(703) 497-1234
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101233103 VA Primary

Addresses

Primary practice location

14573 Potomac Mills Rd
Woodbridge, VA 22192-6808

Mailing address

1581 Spring Gate Dr Unit 5412
McLean, VA 22102-3442
Phone (703) 855-4167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100920000090 VA Practitioner - Internal Medicine 5991697716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medics USA Medical Center, IncGroup PAC ID 9032278247, 2 clinicians

Practice addresses (Care Compare)

44050 Ashburn Shopping PLZ
Suite 179
Ashburn, VA 20147-7916
Phone (703) 726-9401

Merit-based Incentive Payment System (MIPS)

Final score
94.84 of 100Reported as group
Quality
100
Improvement activities
40
Cost
72.27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medics USA Medical Center, Inc CurrentSince Jul 26, 2010 Accepting new patients
Sherwood Hall Family Practice PastSince Jan 1, 1990 Accepting new patients
Medics USA, Inc Past Accepting new patients
Jean Y Redding PastSince Jan 1, 1990 Accepting new patients

Locations

44050 Ashburn Shopping Plz
Ste 179
Ashburn, VA 20147
Phone (540) 338-3360

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CECEAD/Endpoint/CECEAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CECEAD

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033128798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1581 SPRING GATE DR UNIT 5412",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221023442",
            "telephone_number": "703-855-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14573 POTOMAC MILLS RD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221926808",
            "telephone_number": "703-497-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHASEMZADEH",
        "first_name": "ROKSANA",
        "name_prefix": "Mrs.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101233103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.