Individual provider Active NPI

Farda Barandeh, PA

  • Physician Assistant
  • Reston, VA
National Provider Identifier
1588024954
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1939 Roland Clarke PL Ste 200
Reston, VA 20191-1445
Phone
(703) 766-2650
Fax
(703) 766-2654
NPI assigned
Feb 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1939 Roland Clarke PL Ste 200
Reston, VA 20191-1445

Mailing address

9500 S Dadeland Blvd Ste 200
Miami, FL 33156-2866
Phone (785) 530-3820

Other practice location 1

5225 Sheridan Dr
Williamsville, NY 14221-3573
Phone (716) 626-2644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231211001595 VA Practitioner - Physician Assistant 6305144106 Reassigns benefits to 1 organization
I20260421002055 DC Practitioner - Physician Assistant 6305144106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gastroenterology Associates of Northern Virginia, LLCGroup PAC ID 1759371008, 98 clinicians

Practice addresses (Care Compare)

1939 Roland Clarke PL
Suite 200
Reston, VA 20191-1445
Phone (703) 766-2650

3022 Williams Dr
Suite 301
Fairfax, VA 22031-4600
Phone (703) 698-8960

Hospital & facility affiliations

  • Reston Hospital Center Hospital, Reston, VA, CCN 490107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
019558NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Old Dominion Anesthesia LLC Past Accepting new patients
Galloway Anesthesia Associates LLC Past Accepting new patients
Greater Washington Gastroenterology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: farda.barandeh@gastrohealth.eclinicaldirectplus.com
  • Direct secure messaging: farda.barandeh.p4@direct.usppny.nextgenshare.com

Organizations & group practices 4

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 1

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": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1588024954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 S DADELAND BLVD STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562866",
            "telephone_number": "785-530-3820",
            "fax_number": "305-675-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 ROLAND CLARKE PL STE 200",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201911445",
            "telephone_number": "703-766-2650",
            "fax_number": "703-766-2654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5225 Sheridan Dr",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "NY",
            "postal_code": "142213573",
            "country_code": "US",
            "telephone_number": "716-626-2644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARANDEH",
        "first_name": "FARDA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-29",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.