Individual provider Active NPI

Fatemeh Khedmati, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Fairfax, VA
National Provider Identifier
1164659454
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
0101245856 Issued in VA
Practice address
3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone
(703) 391-3654
Fax
(703) 391-3049
NPI assigned
Jun 15, 2009
Last updated
Feb 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 0101245856 VA Primary

Addresses

Primary practice location

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709

Mailing address

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3654

Other practice location 1

6736 Curran Street, Suite 2
McLean, VA 22101-3803
Phone (703) 372-0787

Other practice location 2

19455 Deerfield Ave Ste 202
Lansdowne, VA 20176-8102
Phone (703) 723-3670

Other identifiers 1

IdentifierTypeStateIssuer
30016131240002MedicaidVA

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
I20110610000210 DC Practitioner - Pathology 4486831906 Reassigns benefits to 3 organizations
I20140509001580 VA Practitioner - Pathology 4486831906 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Associates VA, LLCGroup PAC ID 2466449228, 51 clinicians
Inova Health Care Services - PathologyGroup PAC ID 8426241647, 46 clinicians
Loudoun Medical Group, PCGroup PAC ID 0042119661, 272 clinicians

Practice addresses (Care Compare)

19455 Deerfield Ave
Suite 202
Lansdowne, VA 20176-8102
Phone (703) 723-3670

2501 Parkers LN
Alexandria, VA 22306-3209
Phone (703) 664-7000

3023 Hamaker CT
Suite 400
Fairfax, VA 22031-2247
Phone (571) 226-8380

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600

4320 Seminary Rd
Alexandria, VA 22304-1535
Phone (703) 504-3000

44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6000

6736 Curran St
Suite 2
MC Lean, VA 22101-3803
Phone (703) 372-0787

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.65 of 100Reported as apm
Quality
85.31
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
72.1 of 100Reported as individual
Quality
88.62
Improvement activities
0
Cost
77.86

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Loudoun Medical Group, PC CurrentSince Jul 31, 2023 Accepting new patients
Loudoun Medical Group, PC Current Accepting new patients
Inova Health Care Services - Pathology Anatomic Pathology & Clinical Pathology CurrentSince Jan 1, 2014 Accepting new patients
Gastroenterology Associates VA, LLC CurrentSince Oct 8, 2024 Accepting new patients
Loudoun Medical Group, PC CurrentSince Jul 31, 2023 Accepting new patients
Loudoun Medical Group, PC CurrentSince Oct 1, 2023 Accepting new patients
Inova Health Care Services CurrentSince Jan 1, 2015 Accepting new patients
Inova Health Care Services CurrentSince Jan 1, 2015 Accepting new patients
Pediatric Specialists of Virginia, LLC Past Accepting new patients

Locations

5249 Duke St
Ste 100
Alexandria, VA 22304
Phone (703) 370-2814

6355 Walker Ln
Ste 308
Alexandria, VA 22310
Phone (703) 313-7700

20955 Professional Plz
Ste 200
Ashburn, VA 20147
Phone (703) 729-7652

3023 Hamaker Ct
Ste 400
Fairfax, VA 22031
Phone (571) 226-8380

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

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

19455 Deerfield Ave
Ste 201
Leesburg, VA 20176
Phone (703) 723-3670

19455 Deerfield Ave
Ste 202
Leesburg, VA 20176
Phone (703) 723-3670

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

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

8640 Sudley Rd
Ste 201
Manassas, VA 20110
Phone (703) 368-6819

6736 Curran St
Ste 2
McLean, VA 22101
Phone (703) 372-0787

Organizations & group practices 9

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1164659454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 JOSEPH SIEWICK DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331709",
            "telephone_number": "703-391-3654",
            "fax_number": "703-391-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 JOSEPH SIEWICK DR",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331709",
            "telephone_number": "703-391-3654",
            "fax_number": "703-391-3049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6736 Curran Street, Suite 2",
            "address_purpose": "LOCATION",
            "city": "McLean",
            "state": "VA",
            "postal_code": "221013803",
            "country_code": "US",
            "telephone_number": "703-372-0787",
            "fax_number": "703-712-7169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19455 Deerfield Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Lansdowne",
            "state": "VA",
            "postal_code": "201768102",
            "country_code": "US",
            "telephone_number": "703-723-3670",
            "fax_number": "877-325-2018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHEDMATI",
        "first_name": "FATEMEH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-15",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "VA",
            "license": "0101245856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30016131240002",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.