Individual provider Active NPI

Jacqueline S Eghrari-Sabet, M.D.

  • Allergy & Immunology Physician
  • Vienna, VA
National Provider Identifier
1295770998
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
D44244 Issued in MD
Practice address
8320 Old Courthouse Rd
Vienna, VA 22182-3831
Phone
(703) 403-5413
NPI assigned
Jun 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X D44244 MD Primary

Addresses

Primary practice location

8320 Old Courthouse Rd
Vienna, VA 22182-3831

Mailing address

6511 Topeka Rd
MC Lean, VA 22101-4023

Other practice location 1

806 W Diamond Ave Ste 310
Gaithersburg, MD 20878-1415
Phone (703) 403-5413

Other identifiers 1

IdentifierTypeStateIssuer
1295770998OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20050504000227 DC Practitioner - Allergy/Immunology 4880632736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kaufman Allergy Asthma and Immunology, PLLCGroup PAC ID 5092126789, 3 clinicians

Practice addresses (Care Compare)

1945 Old Gallows Rd
Suite 205
Vienna, VA 22182-3931
Phone (703) 403-5413

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D44244MDMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaufman Allergy Asthma and Immunology, PLLC Allergy & Immunology CurrentSince Feb 27, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1945 Old Gallows Rd
Ste 205
Vienna, VA 22182
Phone (703) 403-5413

8320 Old Courthouse Rd
Ste 310
Vienna, VA 22182
Phone (703) 403-5413

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22644/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jacqueline.eghrari-sabet.1@22644.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1295770998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6511 TOPEKA RD",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8320 OLD COURTHOUSE RD",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823831",
            "telephone_number": "703-403-5413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "806 W Diamond Ave Ste 310",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208781415",
            "country_code": "US",
            "telephone_number": "703-403-5413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EGHRARI-SABET",
        "first_name": "JACQUELINE",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MD",
            "license": "D44244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1295770998",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.