Organization Active NPI

Sina J. Sabet MD PC

  • Ophthalmology Physician
  • Alexandria, VA
National Provider Identifier
1396944567
Registry record updated Jul 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
010105674 Issued in VA
Legal business name
SINA J. SABET MD PC
Practice address
5130 Duke Street
Suite 9
Alexandria, VA 22304-2955
Phone
(703) 370-9411
Fax
(703) 370-9417
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2007

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

Authorized official

Name
Sina John Sabet, MDNPI 1790797793
Title
President
Phone
(703) 370-9411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 010105674 VA Primary

Addresses

Primary practice location

5130 Duke Street
Suite 9
Alexandria, VA 22304-2955

Mailing address

5130 Duke Street
Suite 9
Alexandria, VA 22304-2955
Phone (703) 370-9411

Other identifiers 2

IdentifierTypeStateIssuer
6309291MedicaidVA
10388642OtherVACAQH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040426001235 DC Part B Supplier - Clinic/Group Practice 3971590712 Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, VA

National Provider Directory

National Provider Directory

Locations

5130 Duke St
Ste 9
Alexandria, VA 22304
Phone (703) 370-9411

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18231/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

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": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184630400000",
    "number": "1396944567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 DUKE STREET",
            "address_2": "SUITE 9",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223042955",
            "telephone_number": "703-370-9411",
            "fax_number": "703-370-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 DUKE STREET",
            "address_2": "SUITE 9",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223042955",
            "telephone_number": "703-370-9411",
            "fax_number": "703-370-9417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINA J. SABET MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2007-07-17",
        "status": "A",
        "authorized_official_last_name": "SABET",
        "authorized_official_first_name": "SINA",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-370-9411",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "010105674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6309291",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10388642",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.