Organization Active NPI

Dominion Cardiac Care PC

  • Cardiovascular Disease Physician
  • Woodbridge, VA
National Provider Identifier
1457773582
Registry record updated Jan 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101250306 Issued in VA
Legal business name
DOMINION CARDIAC CARE PC
Practice address
14904 Jefferson Davis Hwy
Suite 202
Woodbridge, VA 22191-3908
Phone
(703) 490-3700
Fax
(703) 490-3799
NPI assigned
Jan 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2014

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

Authorized official

Name
Mr. Seyed M Hashemi, MDNPI 1831186790
Title
Owner
Phone
(703) 490-3700

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
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 0101250306 VA Primary

Addresses

Primary practice location

14904 Jefferson Davis Hwy
Suite 202
Woodbridge, VA 22191-3908

Mailing address

14904 Jefferson Davis Hwy
Suite 202
Woodbridge, VA 22191-3908
Phone (703) 490-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140314001434 VA Part B Supplier - Clinic/Group Practice 6901037928 Receives reassigned benefits from 1 practitioner
Practice locations: Woodbridge, VA; Stafford, VA
O20150528001627 DC Part B Supplier - Clinic/Group Practice 6901037928 Receives reassigned benefits from 1 practitioner
Practice locations: Annandale, VA; Woodbridge, VA

National Provider Directory

National Provider Directory

Locations

7617 Little River Tpke
Ste 710
Annandale, VA 22003
Phone (703) 642-0094

243 Garrisonville Rd
Ste 101
Stafford, VA 22554
Phone (540) 440-7001

14904 Richmond Hwy
Ste 202
Woodbridge, VA 22191
Phone (703) 490-3700

Practitioners & affiliated clinicians

Practitioners 1

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": "1389139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389139200000",
    "number": "1457773582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14904 JEFFERSON DAVIS HWY",
            "address_2": "SUITE 202",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913908",
            "telephone_number": "703-490-3700",
            "fax_number": "703-490-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14904 JEFFERSON DAVIS HWY",
            "address_2": "SUITE 202",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913908",
            "telephone_number": "703-490-3700",
            "fax_number": "703-490-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINION CARDIAC CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-08",
        "last_updated": "2014-01-08",
        "status": "A",
        "authorized_official_last_name": "HASHEMI",
        "authorized_official_first_name": "SEYED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-490-3700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101250306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; 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.