Individual provider Active NPI

Leila Maral Ghaffari, DO

  • Neurology Physician
  • Mechanicsville, VA
National Provider Identifier
1326568957
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0102206517 Issued in VA
Practice address
8260 Atlee Rd
Mob2 Suite 330
Mechanicsville, VA 23116
Phone
(804) 764-6000
Fax
(804) 764-7351
NPI assigned
Jun 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 272859 MA
Clinical Neurophysiology Physician 2084N0600X 0102206517 VA
Neurology Physician 2084N0400X 0102206517 VA Primary

Addresses

Primary practice location

8260 Atlee Rd
Mob2 Suite 330
Mechanicsville, VA 23116

Mailing address

8260 Atlee Rd
Mob2 Suite 330
Mechanicsville, VA 23116
Phone (804) 764-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20221111000183 VA Practitioner - Neurology 6002210564 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
272859MAMDInternal Medicine Physician
0102206517VAMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Sep 5, 2022 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC Neurology CurrentSince Sep 5, 2022 Accepting new patients

Locations

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

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": "1498262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1326568957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8260 ATLEE RD",
            "address_2": "MOB2 SUITE 330",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "23116",
            "telephone_number": "804-764-6000",
            "fax_number": "804-764-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 ATLEE RD",
            "address_2": "MOB2 SUITE 330",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "23116",
            "telephone_number": "804-764-6000",
            "fax_number": "804-764-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAFFARI",
        "first_name": "LEILA",
        "middle_name": "MARAL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-24",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "272859",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "VA",
            "license": "0102206517",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0102206517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.