Aytan Mammadova, M.D

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

MD047023 Issued in DC

Practice address

8101 Hinson Farm Rd Ste 219
Alexandria, VA 22306-3406

Phone

(703) 360-8383

Fax

(703) 360-0263

NPI assigned

Apr 21, 2016

Last updated

Jul 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Aytan Saniev Other name

Medicare fee-for-service enrollment

Enrolled in DC, MD, VA3 enrollments

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 3

Specialty

Internal MedicineAlso: Endocrinology, Geriatric Medicine

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Chantilly Family Medicine LLCGroup PAC ID 0547424772, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aytan.mammadova@cdea.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chantilly Family Medicine LLC

  • Family Medicine Physician
  • Chantilly, VA
  • NPI 1306106182

  DC

  Medicare reassignment Care Compare group NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1437503976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 HINSON FARM RD STE 219",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063406",
            "telephone_number": "703-360-8383",
            "fax_number": "703-360-0263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 HINSON FARM RD STE 219",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223063406",
            "telephone_number": "703-360-8383",
            "fax_number": "703-360-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMMADOVA",
        "first_name": "AYTAN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-21",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "DC",
            "license": "MD047023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AYTAN",
            "last_name": "SANIEV",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Angela Michelle Malo
• Molly Maloney
• Evgeny Malts
• Alison D. Maltz, MA., CCC-SLP
• Mambo Royal Care LLC
• Sebele T Mamo
• Kelley M Manahan, NP
• Anteneh Manahle, PHARM.D
• Karina Mira Manalastas, LPC-R, ATR-P
• Rajana Manandhar

• Endocrinology, Diabetes & Metabolism Physician in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Endocrinology, Diabetes & Metabolism Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.