Individual provider Active NPI

Farhad Zangeneh, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Sterling, VA
National Provider Identifier
1114936937
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
0101233721 Issued in VA
Practice address
46090 Lake Center PLZ
Suite 106
Sterling, VA 20165-5876
Phone
(703) 444-4450
Fax
(703) 444-4410
NPI assigned
Aug 8, 2006
Last updated
Dec 3, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 0101233721 VA Primary

Addresses

Primary practice location

46090 Lake Center PLZ
Suite 106
Sterling, VA 20165-5876

Mailing address

46090 Lake Center PLZ
Suite 106
Sterling, VA 20165-5876
Phone (703) 444-4450

Other identifiers 1

IdentifierTypeStateIssuer
DE0220OtherVARAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Aug 14, 2015 through Aug 14, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101233721VAMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endocrine and Diabetes Center P.C. Endocrinology, Diabetes & Metabolism PastSince Dec 1, 2008 Accepting new patients
Farhad Zangeneh MD PC Endocrinology, Diabetes & Metabolism PastSince Dec 20, 2004 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1114936937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46090 LAKE CENTER PLZ",
            "address_2": "SUITE 106",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655876",
            "telephone_number": "703-444-4450",
            "fax_number": "703-444-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46090 LAKE CENTER PLZ",
            "address_2": "SUITE 106",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655876",
            "telephone_number": "703-444-4450",
            "fax_number": "703-444-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANGENEH",
        "first_name": "FARHAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "VA",
            "license": "0101233721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "DE0220",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

Verify at the official NPI Registry.