Organization Active NPI

Houshang Makipour, MD PC

  • Specialist
  • Woodbridge, VA
National Provider Identifier
1356773048
Registry record updated Aug 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
HOUSHANG MAKIPOUR, MD PC
Practice address
2280 Opitz Blvd
Suite 200
Woodbridge, VA 22191-3362
Phone
(703) 580-7433
Fax
(703) 580-7437
NPI assigned
Aug 5, 2013
Organization subpart
Yes
Parent organization
HOUSHANG MAKIPOUR, MDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 5, 2013

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

Authorized official

Name
Ms. Michelle Jean Sackrider
Title
Office Manager
Phone
(703) 580-7433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2280 Opitz Blvd
Suite 200
Woodbridge, VA 22191-3362

Mailing address

2280 Opitz Blvd
Suite 200
Woodbridge, VA 22191-3362
Phone (703) 580-7433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141121000171 DC Part B Supplier - Clinic/Group Practice 7214159573 Receives reassigned benefits from 2 practitioners
Practice locations: Woodbridge, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2154607Houshang Makipour, MD2280 Opitz Boulevard, Suite 200, Woodbridge, VA 22191ComplianceJul 30, 2027

National Provider Directory

National Provider Directory
Part of
Houshang Makipour MD PC

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375660800000",
    "number": "1356773048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 OPITZ BLVD",
            "address_2": "SUITE 200",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913362",
            "telephone_number": "703-580-7433",
            "fax_number": "703-580-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 OPITZ BLVD",
            "address_2": "SUITE 200",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913362",
            "telephone_number": "703-580-7433",
            "fax_number": "703-580-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSHANG MAKIPOUR, MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOUSHANG MAKIPOUR, MD",
        "enumeration_date": "2013-08-05",
        "last_updated": "2013-08-05",
        "status": "A",
        "authorized_official_last_name": "SACKRIDER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "703-580-7433",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.