Individual provider Active NPI

Kavoos Noori Mesbahi, MD

  • Surgery Physician
  • Oakton, VA
National Provider Identifier
1154424232
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101037826 Issued in VA
Practice address
10169 Palmer Dr
Oakton, VA 22124-2623
Phone
(703) 898-5303
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101037826 VA Primary
Colon & Rectal Surgery Physician 208C00000X 0101037826 VA
Pediatrics Physician 208000000X 0101037826 VA
General Practice Physician 208D00000X 0101037826 VA

Addresses

Primary practice location

10169 Palmer Dr
Oakton, VA 22124-2623

Mailing address

PO Box 3036
Oakton, VA 22124-9036
Phone (703) 257-2070

Other identifiers 1

IdentifierTypeStateIssuer
7310021MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20080828000431 DC Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 4688740574 Reassigns benefits to 1 organization
I20090925000489 VA Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 4688740574 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Colorectal Surgery (Proctology)
Education
Other, 1970
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10535 Crestwood Dr
Suite 101
Manassas, VA 20109-4417
Phone (703) 257-2070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101037826VAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Mar 1, 2020 Accepting new patients
Inova Health Care Services CurrentSince Mar 1, 2020 Accepting new patients
Inova Health Care Services CurrentSince Mar 3, 2020 Accepting new patients
Inova Health Care Services Pediatrics Current Accepting new patients
Northern Virginia Nephrology Associates PC Past Accepting new patients

Locations

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

8505 Arlington Blvd
Ste 340
Fairfax, VA 22031
Phone (703) 478-0221

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

2296 Opitz Blvd
Ste 320
Woodbridge, VA 22191
Phone (703) 670-1313

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCBHDD

Organizations & group practices 6

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": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1154424232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3036",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221249036",
            "telephone_number": "703-257-2070",
            "fax_number": "703-257-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10169 PALMER DR",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "221242623",
            "telephone_number": "703-898-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESBAHI",
        "first_name": "KAVOOS",
        "middle_name": "NOORI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101037826",
            "primary": true
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "VA",
            "license": "0101037826",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101037826",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101037826",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7310021",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakton, VA

Sources for this page

Verify at the official NPI Registry.