Active NPI
Lilas Samirad, M.D.
- Specialist
- Lansdowne, VA
National Provider Identifier
1417048299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 0101037754
- Practice address
- 19350 Magnolia Grove SQ
402
Lansdowne, VA 20176-5144 - Phone
- (202) 745-8000
- Fax
- (703) 729-2322
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 0101037754 | VA | Primary |
Addresses
Primary practice location
19350 Magnolia Grove SQ
402
Lansdowne, VA 20176-5144
Mailing address
19350 Magnolia Grove SQ
# 402
Lansdowne, VA 20176-5144
Phone (703) 729-2322
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101037754 | VA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1417048299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19350 MAGNOLIA GROVE SQ",
"address_2": "# 402",
"city": "LANSDOWNE",
"state": "VA",
"postal_code": "201765144",
"telephone_number": "703-729-2322",
"fax_number": "703-729-2322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19350 MAGNOLIA GROVE SQ",
"address_2": "402",
"city": "LANSDOWNE",
"state": "VA",
"postal_code": "201765144",
"telephone_number": "202-745-8000",
"fax_number": "703-729-2322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMIRAD",
"first_name": "LILAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "VA",
"license": "0101037754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansdowne, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.