Individual provider Active NPI

Ahmad Z Ziaie, MD

  • Family Medicine Physician
  • Fairfax, VA
National Provider Identifier
1245492578
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101244708 Issued in VA
Practice address
8301 Arlington Blvd
#405
Fairfax, VA 22031
Phone
(703) 698-9000
Fax
(703) 698-6901
NPI assigned
Jun 27, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101244708 VA Primary

Addresses

Primary practice location

8301 Arlington Blvd
#405
Fairfax, VA 22031

Mailing address

PO Box 791128
Baltimore, MD 21279-1128
Phone (703) 391-2030

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
I20090427000225 VA Practitioner - Family Practice 6103973128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
US Primary and Urgent Care IncGroup PAC ID 7113242504, 2 clinicians

Practice addresses (Care Compare)

12800 Darby Brook CT
Woodbridge, VA 22192-8007
Phone (703) 340-8043

1342 Old Bridge Rd
Woodbridge, VA 22192-2708
Phone (703) 490-0000

Hospital & facility affiliations

  • Five Star Home Health Care Home health agency, Chantilly, VA, CCN 497678

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101244708VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
US Primary and Urgent Care Inc CurrentSince Aug 13, 2014 Accepting new patients
Primary and Urgent Care LLC PastSince Jan 28, 2004 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1342 Old Bridge Rd
#0
Woodbridge, VA 22192

12800 Darby Brook Ct
Woodbridge, VA 22192
Phone (703) 490-3729

1342 Old Bridge Rd
Woodbridge, VA 22192
Phone (703) 490-0000

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": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1245492578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 791128",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212791128",
            "telephone_number": "703-391-2030",
            "fax_number": "703-273-3943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 ARLINGTON BLVD",
            "address_2": "#405",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22031",
            "telephone_number": "703-698-9000",
            "fax_number": "703-698-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIAIE",
        "first_name": "AHMAD",
        "middle_name": "Z",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-27",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101244708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.