Individual provider Active NPI

Amir Alemzadeh, MD

  • Internal Medicine Physician
  • Woodbridge, VA
National Provider Identifier
1205926854
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101230646 Issued in VA
Practice address
12731 Marblestone Dr
Ste 200
Woodbridge, VA 22192-8334
Phone
(703) 497-4700
Fax
(703) 492-6603
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101230646 VA Primary

Addresses

Primary practice location

12731 Marblestone Dr
Ste 200
Woodbridge, VA 22192-8334

Mailing address

PO Box 2068
Woodbridge, VA 22195-2068
Phone (703) 497-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110422000456 VA Practitioner - Internal Medicine 4981591377 Reassigns benefits to 1 organization
Practice locations: Stafford, VA; Woodbridge, VA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
George Washington University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardinal Internal Medicine AssociatesGroup PAC ID 2769379148, 7 clinicians

Practice addresses (Care Compare)

12731 Marblestone Dr
Suite 200
Woodbridge, VA 22192-8334
Phone (703) 897-4700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.28 of 100Reported as group
Quality
86.06
Promoting interoperability
100
Improvement activities
40
Cost
74.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101230646VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medprime, LLC PastSince Dec 15, 2011 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FCJAAA

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 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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1205926854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2068",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221952068",
            "telephone_number": "703-497-4700",
            "fax_number": "703-492-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12731 MARBLESTONE DR",
            "address_2": "STE 200",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928334",
            "telephone_number": "703-497-4700",
            "fax_number": "703-492-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEMZADEH",
        "first_name": "AMIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101230646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.