Individual provider Active NPI

Hassan Tabandeh, MD

  • Cardiovascular Disease Physician
  • Arlington, VA
National Provider Identifier
1386684694
Registry record updated Feb 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101234981 Issued in VA
Practice address
1625 N George Mason Dr
Suite 354
Arlington, VA 22205-3683
Phone
(703) 717-7780
Fax
(703) 717-7781
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0101234981 VA Primary

Addresses

Primary practice location

1625 N George Mason Dr
Suite 354
Arlington, VA 22205-3683

Mailing address

1625 N George Mason Dr
Suite 354
Arlington, VA 22205-3683
Phone (703) 717-7780

Other identifiers 1

IdentifierTypeStateIssuer
1386684694MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address htabandeh12712@direct.virginiahospitalcenter.net Direct

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
I20081028000094 DC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6608845441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Hospital Center Physician Group LLCGroup PAC ID 8426231119, 350 clinicians

Practice addresses (Care Compare)

1625 N George Mason Dr
Suite 354
Arlington, VA 22205-3687
Phone (703) 717-7780

Hospital & facility affiliations

  • Virginia Hospital Center Hospital, Arlington, VA, CCN 490050
  • Inova Alexandria Hospital Hospital, Alexandria, VA, CCN 490040
  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063
  • Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122

Merit-based Incentive Payment System (MIPS)

Final score
80.33 of 100Reported as group
Quality
74.39
Promoting interoperability
87
Improvement activities
40
Cost
70.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101234981VAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Hospital Center Physician Group LLC CurrentSince Feb 1, 2015 Accepting new patients
Virginia Hospital Center Physician Group, LLC Current Accepting new patients
Virginia Hospital Center Physician Group, LLC CurrentSince Feb 1, 2015 Accepting new patients
Virginia Hospital Center Physician Group LLC Cardiovascular Disease Past Accepting new patients
Virginia Hospital Center Physician Group LLC Past Accepting new patients

Locations

700 S Washington St
Ste 330
Alexandria, VA 22314
Phone (703) 528-8260

1851 N George Mason Dr
Ste 3C
Arlington, VA 22207
Phone (703) 717-7780

1625 N George Mason Dr
Ste 354
Arlington, VA 22205
Phone (703) 717-7780

2800 S Shirlington Rd
Ste 500
Arlington, VA 22206
Phone (703) 717-4245

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

Interoperability endpoints

  • Direct secure messaging: htabandeh12712@direct.virginiahospitalcenter.net

Organizations & group practices 5

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 5

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612656000000",
    "number": "1386684694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 N GEORGE MASON DR",
            "address_2": "SUITE 354",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053683",
            "telephone_number": "703-717-7780",
            "fax_number": "703-717-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 N GEORGE MASON DR",
            "address_2": "SUITE 354",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053683",
            "telephone_number": "703-717-7780",
            "fax_number": "703-717-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABANDEH",
        "first_name": "HASSAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2021-02-07",
        "certification_date": "2021-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101234981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386684694",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "htabandeh12712@direct.virginiahospitalcenter.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "LOINC 34133-9",
            "address_1": "1625 N George Mason Dr",
            "address_2": "Suite 354",
            "city": "Arlington",
            "state": "VA",
            "country_code": "US",
            "postal_code": "222053683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.