Samir Nazam, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101036326 Issued in VA

Practice address

13037 Lee Jackson Memorial Hwy Ste D
Fairfax, VA 22033-2004

Phone

(703) 631-0791

Fax

(703) 968-4227

NPI assigned

Apr 3, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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 1

Specialty

General Practice

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Chantilly Walk-in Clinic

  • Clinic/Center
  • Fairfax, VA
  • NPI 1972509735

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578684841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10808 SUNSET HILLS RD",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905410",
            "telephone_number": "703-438-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13037 LEE JACKSON MEMORIAL HWY STE D",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332004",
            "telephone_number": "703-631-0791",
            "fax_number": "703-968-4227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZAM",
        "first_name": "SAMIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101036326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Felicia Naughton, P.A.
• Naum PLLC
• Nava Health Medical Group, LLC
• Pradeep R. Nayak, M.D.
• Bilal Nazam
• Panteha Nazari, PT, DPT, BCB-PMD
• Elena Nazarova, LSA
• Samon Nazemian
• Suephie Nazemian
• Jenny J Nazzal, MD

• Family Medicine Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.