Organization Active NPI

Ramin Mazhari LLC

  • Internal Medicine Physician
  • Vienna, VA
National Provider Identifier
1528878006
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
RAMIN MAZHARI LLC
Practice address
8100 Boone Blvd Ste 300
Vienna, VA 22182-2642
Phone
(703) 716-2866
Fax
(703) 716-2868
NPI assigned
Jan 8, 2025
Last updated
Jan 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Authorized official

Name
Whitney Thomas
Title
Practice Manager
Phone
(703) 716-2866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

8100 Boone Blvd Ste 300
Vienna, VA 22182-2642

Mailing address

8100 Boone Blvd Ste 300
Vienna, VA 22182-2642
Phone (703) 716-2866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260224000559 DC Part B Supplier - Clinic/Group Practice 8123509668 Receives reassigned benefits from 1 practitioner
Practice locations: Vienna, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2345730Ramin Mazhari LLC8100 Boone Blvd Ste 300, Vienna, VA 22182Certificate of waiverJun 16, 2028

National Provider Directory

National Provider Directory

Locations

8100 Boone Blvd
Ste 300
Vienna, VA 22182
Phone (301) 652-4828

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1528878006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 BOONE BLVD STE 300",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822642",
            "telephone_number": "703-716-2866",
            "fax_number": "703-716-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 BOONE BLVD STE 300",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822642",
            "telephone_number": "703-716-2866",
            "fax_number": "703-716-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMIN MAZHARI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "703-716-2866"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.