Individual provider Active NPI

Shahram Yazdani, MD

  • Cardiovascular Disease Physician
  • Manassas, VA
National Provider Identifier
1174566731
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
101226688 Issued in VA
Practice address
8100 Ashton Ave
Suite 200
Manassas, VA 20109-5688
Phone
(703) 331-0300
Fax
(703) 331-0300
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 101226688 VA Primary

Addresses

Primary practice location

8100 Ashton Ave
Suite 200
Manassas, VA 20109-5688

Mailing address

8100 Ashton Ave
Suite 200
Manassas, VA 20109-5688
Phone (703) 331-0300

Other identifiers 14

IdentifierTypeStateIssuer
481437OtherVAOPT/MDIPA/MAMSI
5843278MedicaidVA
70670002OtherVACAREFIRST PROVIDER NUMBER
2346100OtherVAAETNA HMO NUMBER
2501042OtherVAUNITEDHEALTH CARE NUMBER
5292653OtherVAAETNA PPO NUMBER
10029295MedicaidVA
541984220OtherVATAX ID VIRGINIA CARDIO AS
216818OtherVAANTHEM PROVIDER NUMBER
562289471OtherVTTAX ID MANASSAS HEART
J0600001OtherVACAREFIRST
10390896OtherVACAQH
1274643OtherVACIGNA HMO PROVIDER NUMBER
461213OtherVAANTHEM FOR MANASSAS HEART

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20040329000731 VA Practitioner - Cardiovascular Disease (Cardiology) 1951293422 Reassigns benefits to 1 organization
I20090722000625 DC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1951293422 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
New York Medical College, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carient Heart and Vascular, LLCGroup PAC ID 4082972468, 25 clinicians

Practice addresses (Care Compare)

1850 Town Ctr Pkwy
Reston, VA 20190-3300
Phone (877) 415-4116

8100 Ashton Ave
Suite 200
Manassas, VA 20109-5688
Phone 57158117712611

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.08 of 100Reported as group
Quality
82.3
Promoting interoperability
99
Improvement activities
40
Cost
75.47

Merit-based Incentive Payment System (MIPS)

Final score
80.33 of 100Reported as group
Quality
74.39
Promoting interoperability
87
Improvement activities
40
Cost
70.89

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting62
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101226688VAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Hospital Center Physician Group LLC CurrentSince Sep 28, 2023 Accepting new patients
Virginia Hospital Center Physician Group, LLC Current Accepting new patients
Virginia Hospital Center Physician Group LLC CurrentSince Sep 28, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Premier Heart Specialists Past Accepting new patients

Locations

1851 N George Mason Dr
Ste 3C
Arlington, VA 22207
Phone (703) 717-7780

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

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

1850 Town Center Pkwy
Ste 566
Reston, VA 20190

Interoperability endpoints

  • Direct secure messaging: shahram.yazdani.p1@direct.chv.nextgenshare.com

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.

Hospital & facility affiliations 6

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1174566731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 ASHTON AVE",
            "address_2": "SUITE 200",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201095688",
            "telephone_number": "703-331-0300",
            "fax_number": "703-331-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 ASHTON AVE",
            "address_2": "SUITE 200",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201095688",
            "telephone_number": "703-331-0300",
            "fax_number": "703-331-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAZDANI",
        "first_name": "SHAHRAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "101226688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPT/MDIPA/MAMSI",
            "identifier": "481437",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5843278",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST PROVIDER NUMBER",
            "identifier": "70670002",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO NUMBER",
            "identifier": "2346100",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTH CARE NUMBER",
            "identifier": "2501042",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO NUMBER",
            "identifier": "5292653",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10029295",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID VIRGINIA CARDIO AS",
            "identifier": "541984220",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "216818",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID MANASSAS HEART",
            "identifier": "562289471",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "J0600001",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10390896",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HMO PROVIDER NUMBER",
            "identifier": "1274643",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM FOR MANASSAS HEART",
            "identifier": "461213",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.