Alidad Arabshahi, MD
Individual provider Active NPI Otolaryngology Physician · MC Lean, VA
NPI 1235200155 · NPPES record last updated Feb 2, 2024
Key facts
- NPI
- 1235200155
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- License
- 0101234863 (VA)
- Practice address
- 1450 Emerson Ave Apt 402
MC Lean, VA 22101-5751 - Phone
- (703) 988-7562
- Fax
- (703) 660-4803
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Otolaryngology
- 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
- Somnosleep Consultants LLC
Practice addresses (Care Compare)
3301 Woodburn Rd
Suite 211
Annandale, VA 22003-7305
Phone (703) 209-3208
Hospital & facility affiliations
- Inova Fairfax Hospital
- Inova Alexandria Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040511001236 | DC | Practitioner - Otolaryngology | 2163411372 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current |
Accepting new patients | |
| Somnosleep Consultants LLC | Current |
Accepting new patients | |
| Medprime, LLC | Current |
Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients |
Locations
6410 Rockledge Dr
Ste 305
Bethesda, MD 20817
Phone (301) 493-9409
6355 Walker Ln
Ste 200
Alexandria, VA 22310
Phone (703) 922-9501
3301 Woodburn Rd
Ste 201
Annandale, VA 22003
Phone (703) 560-8711
3301 Woodburn Rd
Ste 211
Annandale, VA 22003
Phone (703) 573-4700
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
10716 Richmond Hwy
Ste 204
Lorton, VA 22079
5504 Backlick Rd
Springfield, VA 22151
Phone (703) 941-9552
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JJDCDD/Endpoint/JJDCDD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 0101234863 | VA | Yes |
Addresses
Primary practice location
1450 Emerson Ave Apt 402
MC Lean, VA 22101-5751
Mailing address
PO Box 1504
Lorton, VA 22199-1504
Phone (703) 209-3208
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061724796 | Other | FIRST HEALTH | |
| 010095735 | Medicaid | VA | |
| 3529057 | Other | AETNA HMO | |
| 6754313 | Other | CIGNA | |
| 677169 | Other | NCPPO | |
| 002463116 | Other | UNITED HEALTH CARE | |
| 213793 | Other | OPTIMUM CHOICE | |
| 138060 | Other | ANTHEM HMO GRP 13805 | |
| 7889561 | Other | AETNA PPO | |
| 138060 | Other | ANTHEM PPO GRP 13805 | |
| 297392 | Other | AMERIGROUP | |
| J9630001 | Other | CAREFIRST | |
| 061724796 | Other | PHCS | |
| 2132793 | Other | MAMSI ALLIANCE | |
| 061724796 | Other | TRICARE STANDARD |
Other providers in MC Lean, VA
- Angela Marie Anklam
- Robert Antoniuk
- Anxiety Institute of Virginia, LLC
- Ana Anzola
- Apex Medical Transport LLC
- Arman C. Moshyedi, MD, PLLC
- Shore H. Armani
- Norman Alva Armstrong
- John Arnold
- Vicky Tatiana Arriola
All providers in MC Lean, VA · Otolaryngology Physician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.