Individual provider Active NPI

Neda Motameni, MD

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1184887895
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME117256 Issued in FL
Practice address
1250 S Miami Ave
Miami, FL 33130-4100
Phone
(805) 300-6768
NPI assigned
Jul 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101259313 VA
Internal Medicine Physician 207R00000X ME117256 FL Primary

Addresses

Primary practice location

1250 S Miami Ave
Miami, FL 33130-4100

Mailing address

4158 Dale Blvd
Woodbridge, VA 22193
Phone (703) 680-5959

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
I20160630000593 VA Practitioner - Internal Medicine 1557541158 Reassigns benefits to 1 organization
I20190321002342 DC Practitioner - Internal Medicine 1557541158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4158 Dale Blvd
Woodbridge, VA 22193-2225
Phone (703) 680-5959

8233 Old Courthouse Rd
Suite 170
Vienna, VA 22182-3833
Phone (703) 556-9318

Hospital & facility affiliations

  • Virginia Hospital Center Hospital, Arlington, VA, CCN 490050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME117256FLMDInternal Medicine Physician
0101259313VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urge Medical CurrentSince Jun 1, 2016 Accepting new patients
Baltimore Washington Medical Center Inc. Internal Medicine Past Accepting new patients

Locations

4158 Dale Blvd
Woodbridge, VA 22193
Phone (703) 680-5068

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.

Hospital & facility affiliations 1

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": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1184887895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4158 DALE BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "22193",
            "telephone_number": "703-680-5959",
            "fax_number": "571-659-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S MIAMI AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331304100",
            "telephone_number": "805-300-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTAMENI",
        "first_name": "NEDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101259313",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME117256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.