Individual provider Active NPI

Mahsheed Taeb, D.O

  • Pediatrics Physician
  • Falls Church, VA
National Provider Identifier
1316233786
Registry record updated Jun 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
AF2495150-3544 Issued in VA
Practice address
3300 Gallows Rd
Falls Church, VA 22042-3307
Phone
(443) 471-6427
NPI assigned
Jun 23, 2011
Last updated
Jun 23, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X AF2495150-3544 VA Primary

Addresses

Primary practice location

3300 Gallows Rd
Falls Church, VA 22042-3307

Mailing address

8168 Tamar Dr
Columbia, MD 21045-2896
Phone (443) 471-6427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20170703001149 DC Practitioner - Pediatric MedicinePractitioner - Critical Care (Intensivists) 9032488267 Reassigns benefits to 2 organizations
I20170929002254 VA Practitioner - Pediatric MedicinePractitioner - Critical Care (Intensivists) 9032488267 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AF2495150-3544VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital CurrentSince Jun 6, 2017 Accepting new patients
Inova Health Care Services CurrentSince Jul 8, 2017 Accepting new patients
Children's Hospital Pediatrics CurrentSince Jun 6, 2017 Accepting new patients
Inova Health Care Services CurrentSince Jul 8, 2017 Accepting new patients
Children's Hospital Current Accepting new patients
Inova Health Care Services Pediatrics CurrentSince Jul 9, 2017 Accepting new patients

Locations

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308787200000",
    "number": "1316233786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8168 TAMAR DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452896",
            "telephone_number": "443-471-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 GALLOWS RD",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423307",
            "telephone_number": "443-471-6427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAEB",
        "first_name": "MAHSHEED",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "AF2495150-3544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.