Amir Mahan Ghaznavi, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

0101273392 Issued in VA

Practice address

13454 Sunrise Valley Dr Ste 130
Herndon, VA 20171-3278

Phone

(703) 239-3190

NPI assigned

Jul 21, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, DC, 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

Plastic and Reconstructive Surgery

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aghaznavi509826@direct.ccf.org
• Direct secure messaging: aghaznavi@amg.emadirect.md

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.

• Amg Plastic Surgery LLC

  • Plastic Surgery Physician
  • Herndon, VA
  • NPI 1366195257

  DC

  Medicare reassignment NPD Authorized official
• Healogics Specialty Physicians of Virginia, LLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Fredericksburg, VA
  • NPI 1689079055
  Medicare reassignment NPD
• North East Ohio Group Practice LLC

  • Internal Medicine Physician
  • Middleburg Heights, OH
  • NPI 1063575462
  Medicare reassignment NPD
• University Hospitals Medical Group Inc

  • Multi-Specialty Clinic/Center
  • Cleveland, OH
  • NPI 1669499414
  Medicare reassignment NPD
• Euclid Hospital Cleveland Clinic Health System

  • General Acute Care Hospital
  • Euclid, OH
  • NPI 1457403016
  NPD

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1508021445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13454 SUNRISE VALLEY DR STE 130",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201713278",
            "telephone_number": "703-239-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13454 SUNRISE VALLEY DR STE 130",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201713278",
            "telephone_number": "703-239-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAZNAVI",
        "first_name": "AMIR",
        "middle_name": "MAHAN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-21",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "MI",
            "license": "4301100153",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "VA",
            "license": "0101273392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary George
• Savannah G George, BCBA
• Geriatric Health Care Associates, Inc
• Theresa Y Gerlach, CRNA
• Nita Ghale
• Giant of Maryland LLC
• Giant of Maryland LLC
• Giant of Maryland LLC
• Lalanai C Gibson
• Manmohan K Gill, FNP

• Plastic and Reconstructive Surgery Physician in Herndon, VA
• Providers in Herndon, VA by specialty
• Plastic and Reconstructive Surgery Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.