Individual provider Active NPI

Pedram Javanmard, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Falls Church, VA
National Provider Identifier
1033475413
Registry record updated Apr 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
0101271271 Issued in VA
Practice address
200 Park Ave
Falls Church, VA 22046-4300
Phone
(571) 634-3636
NPI assigned
Apr 10, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2815861 NY
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 0101271271 VA Primary

Addresses

Primary practice location

200 Park Ave
Falls Church, VA 22046-4300

Mailing address

200 Park Ave
Falls Church, VA 22046-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210719002541 DC Practitioner - EndocrinologyPractitioner - Internal Medicine 0244549533 Reassigns benefits to 2 organizations
I20241021003385 MD Practitioner - Internal Medicine 0244549533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Georgia School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Luminis Health Medical Group, LLCGroup PAC ID 2860447315, 540 clinicians

Practice addresses (Care Compare)

2000 Medical Pkwy
Annapolis, MD 21401-3742
Phone (443) 481-1358

4175 N Hanson Court
201 Luminis Health Breast Center of Bowie
Bowie, MD 20716-3181
Phone (443) 481-5300

4175 N Hanson CT
Bowie, MD 20716-3181

7501 Greenway Ctr Dr
Suite 1200
Greenbelt, MD 20770-3510
Phone (443) 481-1000

Hospital & facility affiliations

  • Luminis Health Anne Arundel Medical Center, Inc Hospital, Annapolis, MD, CCN 210023
  • Luminis Health Doctors Community Medical Ctr, Inc Hospital, Lanham, MD, CCN 210051

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2815861NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Sep 9, 2024 Accepting new patients
Privia Medical Group, LLC CurrentSince Jun 12, 2021 Accepting new patients
Privia Medical Group, LLC Internal Medicine CurrentSince Jun 12, 2021 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Aug 9, 2024 Accepting new patients
Luminis Health Medical Group, LLC Internal Medicine CurrentSince Aug 9, 2024 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients

Locations

2000 Medical Pkwy
Ste 510
Annapolis, MD 21401
Phone (443) 481-4600

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

2000 Medical Pkwy
Ste 409
Annapolis, MD 21401
Phone (443) 481-5136

4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199

1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

200 Park Ave
Falls Church, VA 22046
Phone (571) 634-3636

Interoperability endpoints

  • Direct secure messaging: pjavanmard165580@direct.aahs.org

Organizations & group practices 7

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619740800000",
    "number": "1033475413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PARK AVE",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PARK AVE",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220464300",
            "telephone_number": "571-634-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAVANMARD",
        "first_name": "PEDRAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-10",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "2815861",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "VA",
            "license": "0101271271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.