NPIMap

Individual provider Active NPI

Shahrzad Zonoozi

  • Nephrology Physician
  • Fairfax, VA
National Provider Identifier
1497250690
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0101272093 Issued in VA
Practice address
3930 Walnut St Ste 101
Fairfax, VA 22030-4750
Phone
(703) 246-9246
Fax
(703) 246-9257
NPI assigned
Mar 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 0101272093 VA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3930 Walnut St Ste 101
Fairfax, VA 22030-4750

Mailing address

3930 Walnut St Ste 101
Fairfax, VA 22030-4750
Phone (703) 246-9246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230512000947 DC Practitioner - Nephrology 2567828734 Reassigns benefits to 1 organization
I20230516003247 VA Practitioner - Nephrology 2567828734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virginia Nephrology Group LLPGroup PAC ID 2062471857, 15 clinicians

Practice addresses (Care Compare)

3930 Walnut St
Fairfax, VA 22030-4750
Phone (703) 246-9246

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.05 of 100Reported as group
Quality
100
Promoting interoperability
79
Improvement activities
40
Cost
80.98

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Nephrology Group, LLP Nephrology CurrentSince Mar 16, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5150 Duke St
Alexandria, VA 22304
Phone (703) 246-9246

1635 N George Mason Dr
Ste 215
Arlington, VA 22205
Phone (703) 841-0707

3930 Walnut St
Ste 101
Fairfax, VA 22030
Phone (703) 246-9246

14000 Crown Ct
Ste 110
Woodbridge, VA 22193
Phone (703) 361-7341

Interoperability endpoints

  • Direct secure messaging: virginianephrology.shahrzadzonoozi@147473.advancedmd-direct.com

Organizations & group practices 2

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

Hospital & facility affiliations 7

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": "1522195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691539200000",
    "number": "1497250690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 WALNUT ST STE 101",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304750",
            "telephone_number": "703-246-9246",
            "fax_number": "703-246-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 WALNUT ST STE 101",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220304750",
            "telephone_number": "703-246-9246",
            "fax_number": "703-246-9257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZONOOZI",
        "first_name": "SHAHRZAD",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-28",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101272093",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.