NPIMap

Organization Active NPI

Amelia Heart and Vascular Center, Inc.

  • Cardiovascular Disease Physician
  • Springfield, VA
National Provider Identifier
1053514372
Registry record updated Mar 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101054906 Issued in VA
Legal business name
AMELIA HEART AND VASCULAR CENTER, INC.
Practice address
6136 Brandon Ave
Springfield, VA 22150-2610
Phone
(703) 866-3131
Fax
(703) 866-3133
NPI assigned
Jun 6, 2007
Last updated
Mar 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2015

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

Authorized official

Name
Dr. Naghmeh Tebyanian, M.D.NPI 1659310043
Title
Cardiologist
Phone
(703) 866-3131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0101054906 VA Primary

Addresses

Primary practice location

6136 Brandon Ave
Springfield, VA 22150-2610

Mailing address

6136 Brandon Ave
Springfield, VA 22150-2610
Phone (703) 866-3131

Other names 1

  • Virginia Heart & Vascular Center, P.C. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080125000369 DC Part B Supplier - Clinic/Group Practice 1759474372 Receives reassigned benefits from 12 practitioners
Practice locations: Arlington, VA; Springfield, VA; Alexandria, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D1085776Amelia Heart Vascular Center6136 Brandon Avenue, Springfield, VA 22150Certificate of waiverJun 24, 2028

National Provider Directory

National Provider Directory

Locations

7906 Andrus Rd
Ste 6
Alexandria, VA 22306
Phone (703) 866-3131

2445 Army Navy Dr
Ste 303
Arlington, VA 22206
Phone (703) 866-3131

2800 S Shirlington Rd
Ste 300
Arlington, VA 22206
Phone (703) 844-7770

8640 Sudley Rd
#113
Manassas, VA 20110

6136 Brandon Ave
Springfield, VA 22150
Phone (703) 866-3131

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2010/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1053514372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6136 BRANDON AVE",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502610",
            "telephone_number": "703-866-3131",
            "fax_number": "703-866-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6136 BRANDON AVE",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221502610",
            "telephone_number": "703-866-3131",
            "fax_number": "703-866-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMELIA HEART AND VASCULAR CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "TEBYANIAN",
        "authorized_official_first_name": "NAGHMEH",
        "authorized_official_title_or_position": "CARDIOLOGIST",
        "authorized_official_telephone_number": "703-866-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101054906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Virginia Heart & Vascular Center, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; 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.