Individual provider Active NPI

Majid Fotuhi, M.D., PHD

  • Neurology Physician
  • McLean, VA
National Provider Identifier
1174573356
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
D0059507 Issued in MD
Practice address
8280 Greensboro Dr
Suite 240
MC Lean, VA 22102-4905
Phone
(703) 462-9296
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X D0059507 MD Primary

Addresses

Primary practice location

8280 Greensboro Dr
Suite 240
MC Lean, VA 22102-4905

Mailing address

8280 Greensboro Dr
Suite 240
MC Lean, VA 22102-4905
Phone (703) 462-9296

Other identifiers 3

IdentifierTypeStateIssuer
P00157035OtherMDR/R MEDICARE PROVIDER #
C31152OtherMDR/R MEDICARE GROUP #
403075300MedicaidMD

Other names 1

  • Majid Fotouhinia Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 30, 2015 through Jul 30, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0059507MDMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Neurology Institute for Brain Health and Fitness Neurology Past Accepting new patients
The Neurology Institute for Brain Health and Fitness Neurology Past Accepting new patients
Neurology Institute Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 4

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1174573356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8280 GREENSBORO DR",
            "address_2": "SUITE 240",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024905",
            "telephone_number": "703-462-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8280 GREENSBORO DR",
            "address_2": "SUITE 240",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221024905",
            "telephone_number": "703-462-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOTUHI",
        "first_name": "MAJID",
        "name_prefix": "Dr.",
        "credential": "M.D., PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D0059507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R/R MEDICARE PROVIDER #",
            "identifier": "P00157035",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R/R MEDICARE GROUP #",
            "identifier": "C31152",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "403075300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAJID",
            "last_name": "FOTOUHINIA",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in McLean, VA

Sources for this page

Verify at the official NPI Registry.