Siamak Heydarian, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101048248 Issued in VA

Practice address

2200 Opitz Blvd
Suite 350
Woodbridge, VA 22191-3321

Phone

(703) 497-6700

Fax

(703) 497-6300

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 9

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

Specialty

Internal Medicine

Education

Other, 1987

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Domain Medical Home Health & Staffing, Inc Home health agency, Alexandria, VA, CCN 497674
• Sentara Home Care Services Home health agency, Dumfries, VA, CCN 497675
• Mary Washington Hospital Hospital, Fredericksburg, VA, CCN 490022
• Sentara Northern Virginia Medical Center Hospital, Woodbridge, VA, CCN 490113
• Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FEFGCD/Endpoint/FEFGCD
• FHIR API: https://fhir4.healow.com/fhir/r4/HADJAA
• Direct secure messaging: siamak.heydarian@sheydaria.eclinicaldirectplus.com

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.

• Adult Primary Care Center LLC

  • Internal Medicine Physician
  • Woodbridge, VA
  • NPI 1326243395
  Medicare reassignment NPD Authorized official

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

• Domain Medical Home Health & Staffing, Inc.

  • Home Health Agency
  • Alexandria, VA
  • NPI 1457656084
  Care Compare affiliation
• Inova Health Care Services

  • General Acute Care Hospital
  • Alexandria, VA
  • NPI 1922139120
  Care Compare affiliation
• Mary Washington Hospital Inc.

  • General Acute Care Hospital
  • Fredericksburg, VA
  • NPI 1942288527
  Care Compare affiliation
• Mary Washington Hospital, Inc.

  • Cardiovascular Disease Physician
  • Fredericksburg, VA
  • NPI 1013089879

  Hospital

  Care Compare affiliation
• Mary Washington Hospital, Inc.

  • Home Health Agency
  • Fredericksburg, VA
  • NPI 1407814163

  Hospital

  Care Compare affiliation
• Potomac Hospital Corporation of Prince William

  • General Acute Care Hospital
  • Woodbridge, VA
  • NPI 1548366404
  Care Compare affiliation
• Sentara Enterprises

  • Home Health Agency
  • Dumfries, VA
  • NPI 1831414192
  Care Compare affiliation

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1225072077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 OPITZ BLVD",
            "address_2": "SUITE 350",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913321",
            "telephone_number": "703-497-6700",
            "fax_number": "703-497-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 OPITZ BLVD",
            "address_2": "SUITE 350",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913321",
            "telephone_number": "703-497-6700",
            "fax_number": "703-497-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYDARIAN",
        "first_name": "SIAMAK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101048248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110228399",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1452619015",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "433755",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC BS",
            "identifier": "61910001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "194200",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "289363",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "150789200",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5853451",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "102386",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Alejandra Hernandez
• Anita Herrera, PMHNP-BC
• Kathleen S. Hess, P.T.
• Megan Yvonne Hess
• Tatjana Hessami, MD
• Jill Nixon Hibbert, CNM
• Alejandra Hidalgo Schula
• Carolyn Jane Hill, DNP, FNP-BC, MSN,BSN
• Marc Hiller, MD
• Elizabeth Ashley Hilliard

• Internal Medicine Physician in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.