NPIMap

Individual provider Active NPI

Amirali C. Moosavi, MD

  • Vascular & Interventional Radiology Physician
  • Gainesville, VA
National Provider Identifier
1083826630
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
0101257072 Issued in VA
Practice address
14540 John Marshall Hwy
Gainesville, VA 20155-1691
Phone
(037) 126-0627
Fax
(571) 445-3075
NPI assigned
May 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 0101257072 VA Primary

Addresses

Primary practice location

14540 John Marshall Hwy
Gainesville, VA 20155-1691

Mailing address

PO Box 9007
Charlottesville, VA 22906-9007

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmoosavi409559@direct.healthsystem.virginia.edu Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150901000774 VA Practitioner - Interventional Radiology 9234454554 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
State University of Ny Upstate Medical University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15195 Heathcote Blvd
Suite 338
Haymarket, VA 20169-6244
Phone (571) 261-3270

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101257072VAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Virginia Imaging, LLC CurrentSince Mar 1, 2022 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Jun 30, 2023 Accepting new patients
University of Virginia Physicians Group CurrentSince Jan 9, 2018 Accepting new patients
University of Virginia Imaging, LLC Current Accepting new patients
Uva Outpatient Imaging Culpeper, LLC CurrentSince Jul 16, 2020 Accepting new patients
Uva Outpatient Imaging Centreville LLC CurrentSince Apr 9, 2026 Accepting new patients
University of Virginia Imaging, LLC CurrentSince Mar 1, 2022 Accepting new patients

Locations

1215 Lee St
Fl 1
Charlottesville, VA 22908
Phone (434) 924-9400

415 Ray C Hunt Dr
#1100
Charlottesville, VA 22903
Phone (434) 243-8189

1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500

545 Ray C Hunt Dr
Ste 140
Charlottesvle, VA 22903
Phone (434) 243-9198

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211

14540 John Marshall Hwy
Gainesville, VA 20155
Phone (703) 209-8496

15195 Heathcote Blvd
Ste 338
Haymarket, VA 20169
Phone (571) 261-3270

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

1015 Spring Creek Pkwy
#130
Zion Crossroads, VA 22942
Phone (434) 243-9198

Interoperability endpoints

  • Direct secure messaging: cmoosavi409559@direct.healthsystem.virginia.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1083826630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9007",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229069007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14540 JOHN MARSHALL HWY",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201551691",
            "telephone_number": "037-126-0627",
            "fax_number": "571-445-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOSAVI",
        "first_name": "AMIRALI",
        "middle_name": "C.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "VA",
            "license": "0101257072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmoosavi409559@direct.healthsystem.virginia.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "14540 John Marshall Hwy",
            "city": "Gainesville",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201551691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gainesville, VA

Sources for this page

Verify at the official NPI Registry.