Individual provider Active NPI

Nima Vahidi, MD

  • Otolaryngology/Facial Plastic Surgery Physician
  • Richmond, VA
National Provider Identifier
1437647807
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
0101282485 Issued in VA
Practice address
1200 E Broad St
Richmond, VA 23298-5025
Phone
(804) 628-4368
NPI assigned
May 1, 2018
Last updated
Aug 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Facial Plastic Surgery Physician 207YS0123X 322296 NY
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 0101282485 VA Primary

Addresses

Primary practice location

1200 E Broad St
Richmond, VA 23298-5025

Mailing address

1200 E Broad St
Richmond, VA 23298-5025
Phone (804) 628-4368

Other practice location 1

9109 Stony Point Dr
Richmond, VA 23235-1979
Phone (804) 323-0830

Other practice location 2

1001 E Leigh St
Richmond, VA 23298-5004
Phone (804) 628-4368

Other practice location 3

11958 W Broad St
Henrico, VA 23233-1007
Phone (804) 364-6640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240926001188 VA Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 9133475106 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
Virginia Tech Carilion School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians
Absolute Dermatology PCGroup PAC ID 6204267651, 10 clinicians

Practice addresses (Care Compare)

1001 E Leigh St
Richmond, VA 23298-5004
Phone (804) 828-7929

5207 Hickory Park Dr
Suite a
Glen Allen, VA 23059-2624
Phone (804) 326-4448

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.54 of 100Reported as group
Quality
96.28
Promoting interoperability
100
Improvement activities
40
Cost
95.53

Merit-based Incentive Payment System (MIPS)

Final score
83.95 of 100Reported as group
Quality
69.91
Promoting interoperability
99
Improvement activities
40
Cost
77.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision96

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Dermatology P.C. CurrentSince Jun 2, 2025 Accepting new patients
MCV Associated Physicians CurrentSince Sep 1, 2024 Accepting new patients
Vcu Oral-Facial Surgery and Services LLC PastSince Sep 1, 2024 Accepting new patients
Virginia Commonwealth University Health System Authority Past Accepting new patients

Locations

5207 Hickory Park Dr
Ste A
Glen Allen, VA 23059
Phone (804) 326-4448

1001 E Leigh St
Richmond, VA 23298
Phone (804) 628-7497

11958 W Broad St
Richmond, VA 23233
Phone (804) 360-4669

1200 E Broad St
Richmond, VA 23298
Phone (804) 828-0970

1200 E Broad St
#980146
Richmond, VA 23298

1300 Wilkes Ridge Dr
Ste 200
Richmond, VA 23233
Phone (804) 326-4448

1300 Wilkes Ridge Dr
Ste 201
Richmond, VA 23233

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

9109 Stony Point Dr
Richmond, VA 23235
Phone (804) 560-8919

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1437647807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E BROAD ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232985025",
            "telephone_number": "804-628-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E BROAD ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232985025",
            "telephone_number": "804-628-4368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9109 Stony Point Dr",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232351979",
            "country_code": "US",
            "telephone_number": "804-323-0830",
            "fax_number": "804-327-8076",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 E Leigh St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232985004",
            "country_code": "US",
            "telephone_number": "804-628-4368",
            "fax_number": "804-807-7951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11958 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Henrico",
            "state": "VA",
            "postal_code": "232331007",
            "country_code": "US",
            "telephone_number": "804-364-6640",
            "fax_number": "804-364-1019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAHIDI",
        "first_name": "NIMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-01",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NY",
            "license": "322296",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "VA",
            "license": "0101282485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.