Individual provider Active NPI

Michael Reza Banihashemi, MD

  • Cardiovascular Disease Physician
  • Fairfax, VA
National Provider Identifier
1558405944
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101251401 Issued in VA
Practice address
3023 Hamaker CT
Suite 100
Fairfax, VA 22031-2207
Phone
(703) 641-9161
NPI assigned
Feb 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0101251401 VA Primary

Addresses

Primary practice location

3023 Hamaker CT
Suite 100
Fairfax, VA 22031-2207

Mailing address

3023 Hamaker CT
Suite 100
Fairfax, VA 22031-2207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20120702000069 DC Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 7517127780 Reassigns benefits to 3 organizations
I20120724001027 VA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7517127780 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
University of Maryland School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians
Reston Hospital Center LLCGroup PAC ID 4587602255, 10 clinicians

Practice addresses (Care Compare)

1830 Town Ctr Dr
Reston, VA 20190-3292
Phone (703) 481-3165

1850 Town Ctr Pkwy
Reston, VA 20190-3204
Phone (703) 689-9000

1850 Town Ctr Pkwy
Reston, VA 20190-3219
Phone (703) 689-9000

224 D Cornwall St NW
Suite 106
Leesburg, VA 20176-2700
Phone (703) 777-1411

3300 Gallows Rd
Falls Church, VA 22042-3307

44084 Riverside Pkwy
Suite 150
Lansdowne, VA 20176-5158
Phone (703) 858-3185

8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Reston Hospital Center, LLC CurrentSince May 31, 2018 Accepting new patients
Privia Medical Group, LLC CurrentSince Mar 8, 2014 Accepting new patients
Inova Health Care Services CurrentSince Mar 1, 2015 Accepting new patients
Inova Health Care Services CurrentSince Jun 20, 2015 Accepting new patients
Reston Hospital Center, LLC CurrentSince May 31, 2018 Accepting new patients
Privia Medical Group, LLC Cardiovascular Disease CurrentSince Mar 8, 2014 Accepting new patients
Inova Health Care Services CurrentSince Mar 1, 2015 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

20905 Professional Plz
Ste 330
Ashburn, VA 20147
Phone (703) 726-0003

20905 Professional Plz
Ste 110
Ashburn, VA 20147
Phone (703) 726-0003

3023 Hamaker Ct
Ste 100
Fairfax, VA 22031
Phone (703) 641-9161

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

8644 Sudley Rd
#220
Manassas, VA 20110

1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922

1945 Old Gallows Rd
Ste 405
Vienna, VA 22182

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: michael.banihashemi.1@8042.direct.athenahealth.com

Organizations & group practices 8

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": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1558405944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 HAMAKER CT",
            "address_2": "SUITE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 HAMAKER CT",
            "address_2": "SUITE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220312207",
            "telephone_number": "703-641-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANIHASHEMI",
        "first_name": "MICHAEL",
        "middle_name": "REZA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-18",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101251401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.