Organization Active NPI

Virginia Pulmonary Associates, P.C.

  • Pulmonary Disease Physician
  • Falls Church, VA
National Provider Identifier
1164519310
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
VIRGINIA PULMONARY ASSOCIATES, P.C.
Practice address
313 Park Ave Ste 202
Falls Church, VA 22046-3303
Phone
(703) 497-0212
NPI assigned
Oct 9, 2006
Organization subpart
Yes
Parent organization
VIRGINIA PULMONARY ASSOCIATES, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
Ala S Mortazavi, M.D.
Title
Pres/VP/Sec/Tres
Phone
(703) 497-0212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

313 Park Ave Ste 202
Falls Church, VA 22046-3303

Mailing address

313 Park Ave Ste 202
Falls Church, VA 22046-3303
Phone (703) 497-0212

Other identifiers 1

IdentifierTypeStateIssuer
C12825OtherVARAIL ROAD MEDICARE GRP

National Provider Directory

National Provider Directory
Part of
Virginia Pulmonary Associates PC

Locations

313 Park Ave
Ste 202
Falls Church, VA 22046
Phone (703) 497-0212

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1164519310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 PARK AVE STE 202",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463303",
            "telephone_number": "703-497-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 PARK AVE STE 202",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220463303",
            "telephone_number": "703-497-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA PULMONARY ASSOCIATES, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VIRGINIA PULMONARY ASSOCIATES, P.C.",
        "enumeration_date": "2006-10-09",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "MORTAZAVI",
        "authorized_official_first_name": "ALA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRES/VP/SEC/TRES",
        "authorized_official_telephone_number": "703-497-0212",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE GRP",
            "identifier": "C12825",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.