Khosro Shareghi, M.D., F.A.C.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101042990 Issued in VA

Practice address

2200 Opitz Blvd
Suite 310
Woodbridge, VA 22191-3321

Phone

(703) 494-5995

Fax

(703) 491-9153

NPI assigned

Oct 12, 2005

Last updated

May 22, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Specialty

Cardiovascular Disease (Cardiology)Also: Nuclear Medicine

Education

Other, 1971

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

26.26 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

87.54

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Cardiac Care Center PC

  • Cardiovascular Disease Physician
  • Woodbridge, VA
  • NPI 1295804060
  Medicare reassignment NPD Authorized official
• Virginia Cardiovascular Care, Inc

  • Cardiovascular Disease Physician
  • Woodbridge, VA
  • NPI 1700825163
  NPD (past)
• Virginia Nuclear Cardiology PLC

  • Pulmonary Function Technologist
  • Annandale, VA
  • NPI 1467672212
  NPD (past)
• Woodburn Nuclear Medicine, LTD

  dba Metro Region PET

  • Nuclear Medicine Physician
  • Annandale, VA
  • NPI 1659435055
  NPD (past)

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1093703076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 OPITZ BLVD",
            "address_2": "SUITE 310",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913321",
            "telephone_number": "703-494-5995",
            "fax_number": "703-491-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 OPITZ BLVD",
            "address_2": "SUITE 310",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913321",
            "telephone_number": "703-494-5995",
            "fax_number": "703-491-9153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAREGHI",
        "first_name": "KHOSRO",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101042990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM VIRGINIA",
            "identifier": "028690",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHKEEPERS",
            "identifier": "028689",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "541739580",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "60-2983-3",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "1475-0001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006029833",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4252028",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ujjwal Shakya, D.P.T
• Ashish Gajanan Shanbhag, M.D.
• Jessica Shanks, ATC, VATL
• Jocelie Pierre Almorado Shanmugam, O.D.
• Carol Sadie Shapiro, MD
• Shadi Shareghi, D.D.S.
• Rajni Sharma
• Rishi Sharma, LCSW
• Lydia Beatrice Sharp
• Shebah Noble Care Inc.

• Specialist in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.