Individual provider Active NPI

Ali Mirebrahimi-Tafreshi, M.D

  • Internal Medicine Physician
  • Vienna, VA
National Provider Identifier
1295860732
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0066508 Issued in MD
Practice address
2108 Arrowleaf Dr
Vienna, VA 22182-5192
Phone
(443) 739-2315
NPI assigned
Feb 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0066508 MD Primary

Addresses

Primary practice location

2108 Arrowleaf Dr
Vienna, VA 22182-5192

Mailing address

2108 Arrowleaf Dr
Vienna, VA 22182-5192
Phone (443) 739-2315

Other identifiers 1

IdentifierTypeStateIssuer
413631400MedicaidMD

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
I20090610000074 DC Practitioner - Internal Medicine 2860589603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ams Medical Care, LLCGroup PAC ID 3870984982, 3 clinicians

Practice addresses (Care Compare)

731 Walker Rd
Unit E1
Great Falls, VA 22066-2834
Phone (703) 862-4467

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ams Medical Care, LLC Internal Medicine CurrentSince Dec 1, 2021 Accepting new patients
Cedar Health Ventures, LLC Past Accepting new patients

Locations

731 Walker Rd
Unit E1
Great Falls, VA 22066
Phone (703) 862-4467

731 Walker Rd
Unit 1E
Great Falls, VA 22066
Phone (703) 862-4467

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288137600000",
    "number": "1295860732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 ARROWLEAF DR",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221825192",
            "telephone_number": "443-739-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 ARROWLEAF DR",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221825192",
            "telephone_number": "443-739-2315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIREBRAHIMI-TAFRESHI",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2010-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0066508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "413631400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.