Ahmad O Noori MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

0101050528 Issued in VA

Legal business name

AHMAD O NOORI MD PC

Practice address

1860 Town Center Dr
Suite 280
Reston, VA 20190-5896

Phone

(703) 742-8500

Fax

(703) 742-9385

NPI assigned

Dec 5, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Keisha Walls

Title

Billing/Office Manager

Phone

(703) 742-0061

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA, DC2 enrollments

Enrollment records 2

Locations

Practitioners 1

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

• Ahmad Osman Noori, M.D.

  • Nephrology Physician
  • Reston, VA
  • NPI 1407874621

  DC, Specialist

  Medicare reassignment NPD

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1407124506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR",
            "address_2": "SUITE 280",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905896",
            "telephone_number": "703-742-8500",
            "fax_number": "703-742-9385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR",
            "address_2": "SUITE 280",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905896",
            "telephone_number": "703-742-8500",
            "fax_number": "703-742-9385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMAD O NOORI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-05",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_title_or_position": "BILLING/OFFICE MANAGER",
        "authorized_official_telephone_number": "703-742-0061",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101050528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005826187",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "336704",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aglow Dental Studio
• George Aguiar, MD
• Zamir Ahadzada, DPT
• Rosemary Ahanor, DDS
• Alice D Ahlgren, M.D.
• Ishtiaq Ahmad, MD
• Suha Ahmed
• Treasure Aikens
• Shabana Akbari
• Ella Alexandra Akkerman, MD

• Specialist in Reston, VA
• Providers in Reston, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.