Individual provider Active NPI

Mahnaz Momeni, MD

  • Rheumatology Physician
  • Vienna, VA
National Provider Identifier
1306924741
Registry record updated Mar 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
0101233154 Issued in VA
Practice address
8130 Boone Blvd
Suite#340
Vienna, VA 22182-2666
Phone
(703) 734-2222
Fax
(703) 734-2223
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 0101233154 VA Primary

Addresses

Primary practice location

8130 Boone Blvd
Suite#340
Vienna, VA 22182-2666

Mailing address

8130 Boone Blvd
Suite#340
Vienna, VA 22182-2666
Phone (703) 734-2222

Other identifiers 1

IdentifierTypeStateIssuer
036856100MedicaidDC

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
I20050805000393 DC Practitioner - RheumatologyPractitioner - Internal Medicine 6406885870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

8130 Boone Blvd
Suite 340
Vienna, VA 22182-2640
Phone (703) 734-2222

Hospital & facility affiliations

  • Virginia Hospital Center Hospital, Arlington, VA, CCN 490050
  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063

Merit-based Incentive Payment System (MIPS)

Final score
91.73 of 100Reported as group
Quality
86.24
Improvement activities
40
Cost
90.78

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis and Rheumatology Clinical Center of Northern Virginia, PLLC Rheumatology CurrentSince Feb 16, 2015 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

8130 Boone Blvd
Ste 340
Vienna, VA 22182
Phone (703) 734-2222

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBAADA/Endpoint/DBAADA
  • FHIR API: https://fhir4.healow.com/fhir/r4/DBAADA

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 3

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425513600000",
    "number": "1306924741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8130 BOONE BLVD",
            "address_2": "SUITE#340",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822666",
            "telephone_number": "703-734-2222",
            "fax_number": "703-734-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8130 BOONE BLVD",
            "address_2": "SUITE#340",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822666",
            "telephone_number": "703-734-2222",
            "fax_number": "703-734-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMENI",
        "first_name": "MAHNAZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2015-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "VA",
            "license": "0101233154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036856100",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.