Individual provider Active NPI

Babak Bedayat, MD

  • Interventional Pain Medicine Physician
  • Culpeper, VA
National Provider Identifier
1083896955
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
0101270422 Issued in VA
Practice address
541 Sunset LN Ste 301
Culpeper, VA 22701-3979
Phone
(540) 825-4557
Fax
(540) 825-4566
NPI assigned
Dec 3, 2007
Last updated
Nov 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Interventional Pain Medicine Physician 208VP0014X 0101270422 VA Primary

Addresses

Primary practice location

541 Sunset LN Ste 301
Culpeper, VA 22701-3979

Mailing address

8136 Centralia CT
Suite 103
Leesburg, FL 34788-3757
Phone (410) 350-3565

Other practice location 1

8136 Centralia Ct
Suite 103
Leesburg, FL 34788-3757
Phone (410) 350-3565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VA, DC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20151207001017 FL Practitioner - Pain Management 1759503535 Reassigns benefits to 1 organization
I20200909002647 VA Practitioner - Interventional Pain ManagementPractitioner - Pain Management 1759503535 Reassigns benefits to 1 organization
I20230612000019 DC Practitioner - Pain Management 1759503535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Pain Management
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

15237 Creativity Dr
Culpeper, VA 22701-2504
Phone (540) 321-4281

4200 Evergreen LN
Suite 322
Annandale, VA 22003-3252
Phone (571) 777-5800

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101270422VAMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Nov 4, 2020 Accepting new patients
Pain and Spine Centers of Florida, LLC CurrentSince Nov 1, 2015 Accepting new patients
Pain and Spine Centers of Florida LLC CurrentSince Nov 1, 2015 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 4, 2020 Accepting new patients
Cosmopolitan Pain and Spine Center LLC Interventional Pain Medicine CurrentSince Apr 30, 2023 Accepting new patients
Pain and Spine Centers of Florida LLC Current Accepting new patients
Regenerative Spine, Pain, and Neuropathy Centers, Inc. PastSince Jun 22, 2021 Accepting new patients

Locations

8136 Centralia Ct
Ste 103
Leesburg, FL 34788
Phone (352) 343-6900

2146 Vindale Rd
Ste C
Tavares, FL 32778
Phone (352) 343-6900

4200 Evergreen Ln
Ste 322
Annandale, VA 22003
Phone (571) 347-7800

15237 Creativity Dr
Culpeper, VA 22701
Phone (540) 321-4281

541 Sunset Ln
Ste 301
Culpeper, VA 22701
Phone (540) 825-4557

8644 Sudley Rd
#220
Manassas, VA 20110

Interoperability endpoints

  • Direct secure messaging: babak.bedayat.1@8042.direct.athenahealth.com
  • Direct secure messaging: bbedayat645783@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 1

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": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1083896955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8136 CENTRALIA CT",
            "address_2": "SUITE 103",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883757",
            "telephone_number": "410-350-3565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 SUNSET LN STE 301",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227013979",
            "telephone_number": "540-825-4557",
            "fax_number": "540-825-4566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8136 Centralia Ct",
            "address_2": "SUITE 103",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347883757",
            "country_code": "US",
            "telephone_number": "410-350-3565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEDAYAT",
        "first_name": "BABAK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-03",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "VA",
            "license": "0101270422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culpeper, VA

Sources for this page

Verify at the official NPI Registry.