Individual provider Active NPI

Maryam Dadkhah, R.D.

  • Registered Dietitian
  • Sterling, VA
National Provider Identifier
1033348719
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
932600 Issued in VA
Practice address
46165 Westlake Dr
Suite 200
Sterling, VA 20165-5872
Phone
(703) 665-3814
NPI assigned
Jul 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 932600 VA Primary

Addresses

Primary practice location

46165 Westlake Dr
Suite 200
Sterling, VA 20165-5872

Mailing address

46165 Westlake Dr
Suite 200
Sterling, VA 20165-5872
Phone (703) 665-3814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141124001502 DC Practitioner - Registered Dietitian Or Nutrition Professional 6305168675 Reassigns benefits to 1 organization
I20150115001983 VA Practitioner - Registered Dietitian Or Nutrition Professional 6305168675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8321 Old Courthouse Rd
Suite 215
Vienna, VA 22182-3817
Phone (703) 665-3814

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
932600VAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis & Sports Orthopaedics PC CurrentSince Aug 9, 2015 Accepting new patients

Locations

21475 Ridgetop Cir
Ste 150
Sterling, VA 20166
Phone (703) 433-2500

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.

NPI Registry JSON

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403827200000",
    "number": "1033348719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46165 WESTLAKE DR",
            "address_2": "SUITE 200",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655872",
            "telephone_number": "703-665-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46165 WESTLAKE DR",
            "address_2": "SUITE 200",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655872",
            "telephone_number": "703-665-3814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DADKHAH",
        "first_name": "MARYAM",
        "name_prefix": "Dr.",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-02",
        "last_updated": "2014-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "932600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.