Active NPI
Kaveh Parvaresh, M.D., P.C.
- Family Medicine Physician
- Arlington, VA
National Provider Identifier
1053567719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101238365
- Legal business name
- KAVEH PARVARESH, M.D., P.C.
- Practice address
- 611 S Carlin Springs Rd Ste 309
Arlington, VA 22204-1086 - Phone
- (703) 671-8444
- Fax
- (703) 671-2476
- NPI assigned
- Aug 13, 2008
- Last updated
- Jan 16, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kaveh Parvaresh, MD
- Title
- President
- Phone
- (703) 671-8444
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101238365 | VA | Primary |
Addresses
Primary practice location
611 S Carlin Springs Rd Ste 309
Arlington, VA 22204-1086
Mailing address
PO Box 11149
Alexandria, VA 22312-0149
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010402913 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir4.healow.com/fhir/r4/BADEAD
Practitioners & affiliated clinicians
Practitioners 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579132800000",
"number": "1053567719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11149",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223120149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 S CARLIN SPRINGS RD STE 309",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222041086",
"telephone_number": "703-671-8444",
"fax_number": "703-671-2476"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAVEH PARVARESH, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-13",
"last_updated": "2020-01-16",
"certification_date": "2020-01-16",
"status": "A",
"authorized_official_last_name": "PARVARESH",
"authorized_official_first_name": "KAVEH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-671-8444",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "VA",
"license": "0101238365",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010402913",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.