Individual provider Active NPI

Bardia Nemati, MD

  • General Practice Physician
  • Great Falls, VA
National Provider Identifier
1104389337
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
0101270346 Issued in VA
Practice address
731 Walker Rd # E1
Great Falls, VA 22066-2834
Phone
(818) 966-3542
NPI assigned
Apr 14, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 0101270346 VA Primary

Addresses

Primary practice location

731 Walker Rd # E1
Great Falls, VA 22066-2834

Mailing address

731 Walker Rd # E1
Great Falls, VA 22066-2834
Phone (818) 966-3542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210421002041 VA Practitioner - General Practice 6305254855 Reassigns benefits to 1 organization
I20211108001853 DC Practitioner - General PracticePractitioner - General Surgery 6305254855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: General Surgery
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tu Family Medical and Vision Clinic LLCGroup PAC ID 1456744473, 4 clinicians

Practice addresses (Care Compare)

2946 Sleepy Hollow Rd
Suite B
Falls Church, VA 22044-2003
Phone (703) 417-9678

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Majestic Medical Association LLC General Practice CurrentSince Jul 1, 2021 Accepting new patients
Tu Family Medical and Vision Clinic LLC CurrentSince Jan 1, 2022 Accepting new patients
Signify Health, LLC General Practice CurrentSince Mar 1, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

2946 Sleepy Hollow Rd
Ste B
Falls Church, VA 22044
Phone (703) 417-9678

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603324800000",
    "number": "1104389337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 WALKER RD # E1",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220662834",
            "telephone_number": "818-966-3542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 WALKER RD # E1",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220662834",
            "telephone_number": "818-966-3542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMATI",
        "first_name": "BARDIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-14",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101270346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, VA

Sources for this page

Verify at the official NPI Registry.