Individual provider Active NPI

Rezvan Heidari, FNP-C

  • Family Nurse Practitioner
  • Reston, VA
National Provider Identifier
1467811646
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024173245 Issued in VA
Practice address
1488 Northpoint Village Ctr
Reston, VA 20194-1190
Phone
(571) 786-1024
Fax
(571) 786-1025
NPI assigned
Feb 17, 2016
Last updated
May 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024173245 VA Primary

Addresses

Primary practice location

1488 Northpoint Village Ctr
Reston, VA 20194-1190

Mailing address

PO Box 791775
Baltimore, MD 21279-1775
Phone (571) 302-5000

Other practice location 1

5652 Pickwick Rd
Centreville, VA 20120-2057
Phone (866) 389-2727

Other identifiers 1

IdentifierTypeStateIssuer
1467811646OtherFNP

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rheidari234165@soc.inova.org Health Information Exchange (HIE) Inova UCC LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, KY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20160527000641 DC Practitioner - Nurse Practitioner 3971893280 Reassigns benefits to 2 organizations
I20160707001983 VA Practitioner - Nurse Practitioner 3971893280 Reassigns benefits to 1 organization
I20260204003461 KY Practitioner - Nurse Practitioner 3971893280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Ucc LLCGroup PAC ID 7012385040, 158 clinicians

Practice addresses (Care Compare)

180 Maple Ave W
Vienna, VA 22180-5727
Phone (703) 938-5300

43135 Broadlands Ctr PLZ
Suite 123
Broadlands, VA 20148-3804
Phone (571) 206-0742

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
78.67
Improvement activities
40
Cost
83.65

Merit-based Incentive Payment System (MIPS)

Final score
88.6 of 100Reported as group
Quality
84.42
Promoting interoperability
100
Improvement activities
40
Cost
77.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024173245VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MC Medical Group of DC, PC Family CurrentSince Apr 11, 2018 Accepting new patients
Inova Ucc LLC CurrentSince Feb 5, 2024 Accepting new patients
Community Care Health Network LLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

4555 Wisconsin Ave NW
Washington, DC 20016
Phone (202) 537-1459

845 Bladensburg Rd NE
Washington, DC 20002
Phone (202) 247-6551

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

20070 Ashbrook Commons Plz
Ashburn, VA 20147
Phone (571) 223-0517

20070 Ashbrook Commons Plz
Unit 104
Ashburn, VA 20147
Phone (571) 479-3116

43135 Broadlands Center Plz
Ste 123
Broadlands, VA 20148
Phone (571) 206-0742

24801 Pinebrook Rd
Ste 110
Chantilly, VA 20152
Phone (703) 722-2500

7637 Linton Hall Rd
Gainesville, VA 20155
Phone (703) 743-7000

2425 Centreville Rd
Ste 7
Herndon, VA 20171
Phone (571) 376-4000

1488 Northpoint Village Ctr
Reston, VA 20194
Phone (571) 525-5850

46000 Center Oak Plz
Ste 190
Sterling, VA 20166
Phone (703) 430-4343

180 Maple Ave W
Vienna, VA 22180
Phone (703) 938-5300

Interoperability endpoints

  • Direct secure messaging: rheidari234165@soc.inova.org

Organizations & group practices 3

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": "1455667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1467811646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 791775",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212791775",
            "telephone_number": "571-302-5000",
            "fax_number": "571-302-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1488 NORTHPOINT VILLAGE CTR",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201941190",
            "telephone_number": "571-786-1024",
            "fax_number": "571-786-1025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5652 Pickwick Rd",
            "address_purpose": "LOCATION",
            "city": "Centreville",
            "state": "VA",
            "postal_code": "201202057",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "fax_number": "401-216-3854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEIDARI",
        "first_name": "REZVAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-17",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024173245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP",
            "identifier": "1467811646",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rheidari234165@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova UCC LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDAA",
            "address_1": "20070 Ashbrook Commons Plz",
            "city": "Ashburn",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201475034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.