Individual provider Active NPI

Ali Reza Assefi, MD

  • Nephrology Physician
  • Fairfax, VA
National Provider Identifier
1275531832
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0101045348 Issued in VA
Practice address
13135 Lee Jackson Memorial Hwy
135
Fairfax, VA 22033-1907
Phone
(703) 961-0488
Fax
(703) 961-0480
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 0101045348 VA Primary

Addresses

Primary practice location

13135 Lee Jackson Memorial Hwy
135
Fairfax, VA 22033-1907

Mailing address

13135 Lee Jackson Memorial Hwy
135
Fairfax, VA 22033-1907
Phone (703) 961-0488

Other identifiers 1

IdentifierTypeStateIssuer
006053459MedicaidVA

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
I20110211000015 VA Practitioner - Nephrology 5395657639 Reassigns benefits to 1 organization
I20110630000083 DC Practitioner - Nephrology 5395657639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates of Northern Virginia IncGroup PAC ID 4587566138, 15 clinicians

Practice addresses (Care Compare)

13135 Lee Jackson Hwy
Suite 135
Fairfax, VA 22033-1907
Phone (703) 476-1740

46396 Benedict Dr
Suite 220
Sterling, VA 20164-6626
Phone (703) 476-1740

Hospital & facility affiliations

  • DaVita Lansdowne Dialysis Dialysis facility, Leesburg, VA, CCN 492672
  • DaVita Leesburg Virginia Dialysis Dialysis facility, Leesburg, VA, CCN 492654
  • DaVita CDC Sterling Dialysis Dialysis facility, Sterling, VA, CCN 492541
  • DaVita Ashburn Dialysis Dialysis facility, Ashburn, VA, CCN 492731
  • Inova Loudoun Hospital Hospital, Leesburg, VA, CCN 490043
  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063
  • Reston Hospital Center Hospital, Reston, VA, CCN 490107
  • Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101
  • Uva Health Haymarket Medical Center Hospital, Haymarket, VA, CCN 490144

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates of Northern Virginia, Inc Nephrology CurrentSince Dec 3, 1990 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5695 King Centre Dr
Ste 105
Alexandria, VA 22315
Phone (703) 921-9506

8501 Arlington Blvd
Ste 100
Fairfax, VA 22031
Phone (703) 876-8445

13135 Route 50
Ste 135
Fairfax, VA 22033
Phone (703) 961-0488

13135 Route 50
Fairfax, VA 22033
Phone (703) 391-0900

14664 Gap Way
Gainesville, VA 20155
Phone (703) 753-3520

530 Huntmar Park Dr
Herndon, VA 20170

44084 Riverside Pkwy
Ste 250
Leesburg, VA 20176
Phone (304) 449-3778

224D Cornwall St NW
Ste 100
Leesburg, VA 20176
Phone (304) 449-3778

8405 Dorsey Cir
Ste 102
Manassas, VA 20110
Phone (703) 208-0820

46396 Benedict Dr
Ste 220
Sterling, VA 20164

2751 Killarney Dr
Woodbridge, VA 22192
Phone (703) 897-7027

Interoperability endpoints

  • Direct secure messaging: ali.assefi@direct.davitaphysiciansolutions.com
  • Direct secure messaging: aliassefi@nanv.allscriptsdirect.net

Organizations & group practices 2

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 10

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470960000000",
    "number": "1275531832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13135 LEE JACKSON MEMORIAL HWY",
            "address_2": "135",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331907",
            "telephone_number": "703-961-0488",
            "fax_number": "703-961-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13135 LEE JACKSON MEMORIAL HWY",
            "address_2": "135",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331907",
            "telephone_number": "703-961-0488",
            "fax_number": "703-961-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASSEFI",
        "first_name": "ALI",
        "middle_name": "REZA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2016-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101045348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006053459",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.