Active NPI
Ali Farhad Kazemi, M.D.
- Gastroenterology Physician
- Woodbridge, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 0101258470
- Practice address
- 14010 Smoketown Rd
Suite 117
Woodbridge, VA 22192-4722 - Phone
- (703) 580-0181
- NPI assigned
- Apr 7, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 0101258470 | VA | Primary |
Addresses
Primary practice location
14010 Smoketown Rd
Suite 117
Woodbridge, VA 22192-4722
Mailing address
14010 Smoketown Rd
Suite 117
Woodbridge, VA 22192-4722
Phone (703) 580-0181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1800 N Beauregard St
Suite 200
Alexandria, VA 22311-1725
Phone (703) 823-3750
3022 Williams Dr
Suite 301
Fairfax, VA 22031-4600
Phone (703) 698-8960
8140 Ashton Ave
Suite 212
Manassas, VA 20109-5701
Phone (703) 365-9085
Hospital & facility affiliations
- Sentara Northern Virginia Medical Center
- Inova Alexandria Hospital
- Uva Health Haymarket Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.52 of 100
- Quality
- 56.13
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 80.61
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 43 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 70 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101258470 | VA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastroenterology Associates of Northern Virginia, LLC | Gastroenterology | Current | Accepting new patients |
| Old Dominion Anesthesia LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
2616 Sherwood Hall Ln
Ste 203
Alexandria, VA 22306
Phone (703) 360-0594
1800 N Beauregard St
Ste 200
Alexandria, VA 22311
Phone (703) 823-3750
3022 Williams Dr
Ste 301
Fairfax, VA 22031
Phone (703) 698-1775
8140 Ashton Ave
Ste 212
Manassas, VA 20109
Phone (703) 362-3114
422 Garrisonville Rd
Ste 109
Stafford, VA 22554
Phone (540) 659-9359
24570 Medical Dr
Sterling, VA 20166
Phone (571) 367-4400
14010 Smoketown Rd
Ste 117
Woodbridge, VA 22192
Phone 7035800181135
Interoperability endpoints
- ali.kazemi@gastrohealth.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Gastroenterology Physician
- Fairfax, VA
- NPI 1205884368
DC
-
- Anesthesiology Physician
- Charlottesville, VA
- NPI 1902248677
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alexandria, VA
- NPI 1255684460
-
- General Acute Care Hospital
- Woodbridge, VA
- NPI 1548366404
-
- General Acute Care Hospital
- Haymarket, VA
- NPI 1124369137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460505600000",
"number": "1609019520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14010 SMOKETOWN RD",
"address_2": "SUITE 117",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221924722",
"telephone_number": "703-580-0181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14010 SMOKETOWN RD",
"address_2": "SUITE 117",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221924722",
"telephone_number": "703-580-0181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAZEMI",
"first_name": "ALI",
"middle_name": "FARHAD",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-07",
"last_updated": "2016-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "VA",
"license": "0101258470",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.