Active NPI
Optimum Care LLC
- Emergency Medicine Physician
- Stafford, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- OPTIMUM CARE LLC
- Practice address
- 882 Garrisonville Rd
Stafford, VA 22554-3907 - Phone
- (540) 318-6464
- NPI assigned
- May 29, 2012
- 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
- Hamed Kabiri, MD
- Title
- Owner
- Phone
- (703) 888-8100
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary | ||
| Family Medicine Physician | 207Q00000X | |||
| General Practice Physician | 208D00000X |
Addresses
Primary practice location
882 Garrisonville Rd
Stafford, VA 22554-3907
Mailing address
9703 Carnot Way
Vienna, VA 22182-3013
Phone (703) 888-8100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 2
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2046912 | Optimum Care | Certificate of waiver | Sep 12, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Stafford, VA
- NPI 1114181385
-
- Medical Physician Assistant
- Stafford, VA
- NPI 1780483172
-
- Physician Assistant
- Stafford, VA
- NPI 1386229060
-
- Physician Assistant
- Alexandria, VA
- NPI 1912320623
-
- Medical Physician Assistant
- La Plata, MD
- NPI 1326586678
Family Medicine, VA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1555977600000",
"number": "1093075798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9703 CARNOT WAY",
"city": "VIENNA",
"state": "VA",
"postal_code": "221823013",
"telephone_number": "703-888-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "882 GARRISONVILLE RD",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225543907",
"telephone_number": "540-318-6464"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMUM CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-29",
"last_updated": "2019-04-23",
"status": "A",
"authorized_official_last_name": "KABIRI",
"authorized_official_first_name": "HAMED",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-888-8100",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stafford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.