Individual provider Active NPI

Taseen Mir, M.D.

  • Family Medicine Physician
  • Reston, VA
National Provider Identifier
1154470946
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101242624 Issued in VA
Practice address
11107 Sunset Hills Rd Ste 200
Reston, VA 20190-5376
Phone
(703) 876-9300
Fax
(703) 876-9811
NPI assigned
Jan 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101242624 VA Primary

Addresses

Primary practice location

11107 Sunset Hills Rd Ste 200
Reston, VA 20190-5376

Mailing address

11107 Sunset Hills Rd Ste 200
Reston, VA 20190-5376
Phone (703) 876-9300

Other practice location 1

1801 Robert Fulton Dr
Suite 140
Reston, VA 20191-5461
Phone (703) 876-9300

Other identifiers 1

IdentifierTypeStateIssuer
0803811012OtherMIBCBS

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
I20150810002641 DC Practitioner - Family Practice 5698795896 Reassigns benefits to 2 organizations
I20150821013437 VA Practitioner - Family Practice 5698795896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
S and D of Virginia IncGroup PAC ID 9830121060, 3 clinicians

Practice addresses (Care Compare)

11107 Sunset Hills Rd
Suite 230
Reston, VA 20190-5376
Phone (703) 876-9300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
S & D of Virginia Inc CurrentSince Oct 13, 2020 Accepting new patients
Privia Medical Group, LLC Family Medicine CurrentSince Jul 22, 2015 Accepting new patients
Privia Medical Group, LLC CurrentSince Jul 22, 2015 Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

8503 Arlington Blvd
Ste 140
Fairfax, VA 22031
Phone (703) 573-4440

8644 Sudley Rd
#220
Manassas, VA 20110

1801 Robert Fulton Dr
Ste 140
Reston, VA 20191
Phone (703) 876-9300

11107 Sunset Hills Rd
Ste 230
Reston, VA 20190

11107 Sunset Hills Rd
Ste 200
Reston, VA 20190
Phone (703) 876-9300

Interoperability endpoints

  • Direct secure messaging: taseen.mir.1@20274.direct.athenahealth.com
  • Direct secure messaging: taseen.mir@1042036219510788.direct.elationemr.com
  • FHIR API: https://api.platform.athenahealth.com/20274/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1154470946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11107 SUNSET HILLS RD STE 200",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905376",
            "telephone_number": "703-876-9300",
            "fax_number": "703-876-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11107 SUNSET HILLS RD STE 200",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905376",
            "telephone_number": "703-876-9300",
            "fax_number": "703-876-9811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 Robert Fulton Dr",
            "address_2": "Suite 140",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201915461",
            "country_code": "US",
            "telephone_number": "703-876-9300",
            "fax_number": "703-876-9811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIR",
        "first_name": "TASEEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101242624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0803811012",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.