Active NPI
Fakhria Masumi Khorrami, MD
- Family Medicine Physician
- Springfield, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101049915
- Practice address
- 6230 Rolling Rd Ste J
Springfield, VA 22152-2326 - Phone
- (571) 665-6460
- Fax
- (571) 665-6461
- NPI assigned
- Feb 20, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101049915 | VA | Primary |
Addresses
Primary practice location
6230 Rolling Rd Ste J
Springfield, VA 22152-2326
Mailing address
6230 Rolling Rd Ste J
Springfield, VA 22152-2326
Phone (571) 665-6460
Other practice location 1
180 Maple Ave W
Vienna, VA 22180-5727
Phone (703) 938-5300
Other practice location 2
9452 Main Street
Med First Urgent Care
Fairfax, VA 22031
Phone (703) 503-1112
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | fkhorrami27578@soc.inova.org | Health Information Exchange (HIE) | Inova Health Care Services |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120410000460 | DC | Practitioner - Family Practice | 5799946281 | Reassigns benefits to 2 organizations |
| I20180301002545 | VA | Practitioner - Family Practice | 5799946281 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
24801 Pinebrook Rd
Suite 110
Chantilly, VA 20152-4113
Phone (703) 722-2500
6230 Rolling Rd
Suite J
Springfield, VA 22152-2326
Phone (571) 665-6460
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.6 of 100
- Quality
- 84.42
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.58
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101049915 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Ucc LLC | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Dominion Urgent Care Center LLC | Past | Accepting new patients |
Locations
6201 Centreville Rd
Ste 200
Centreville, VA 20121
Phone (703) 830-5600
24801 Pinebrook Rd
Ste 110
Chantilly, VA 20152
Phone (703) 722-2500
2990 Telestar Ct
Ste 3UC
Falls Church, VA 22042
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
6230 Rolling Rd
Ste J
Springfield, VA 22152
Phone (571) 665-6460
180 Maple Ave W
Vienna, VA 22180
Phone (703) 938-5300
Interoperability endpoints
- fkhorrami27578@soc.inova.org
Organizations & group practices 5
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.
-
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
- Internal Medicine Physician
- Springfield, VA
- NPI 1689803207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668470400000",
"number": "1609911601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6230 ROLLING RD STE J",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221522326",
"telephone_number": "571-665-6460",
"fax_number": "571-665-6461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6230 ROLLING RD STE J",
"city": "SPRINGFIELD",
"state": "VA",
"postal_code": "221522326",
"telephone_number": "571-665-6460",
"fax_number": "571-665-6461"
}
],
"practiceLocations": [
{
"address_1": "180 Maple Ave W",
"address_purpose": "LOCATION",
"city": "Vienna",
"state": "VA",
"postal_code": "221805727",
"country_code": "US",
"telephone_number": "703-938-5300",
"fax_number": "703-242-0726",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9452 Main Street",
"address_2": "Med First Urgent Care",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "22031",
"country_code": "US",
"telephone_number": "703-503-1112",
"fax_number": "703-503-1154",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHORRAMI",
"first_name": "FAKHRIA",
"middle_name": "MASUMI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2022-11-15",
"certification_date": "2022-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101049915",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "fkhorrami27578@soc.inova.org",
"affiliation": "Y",
"endpointDescription": "Health Information Exchange",
"affiliationName": "Inova Health Care Services",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "6230 Rolling Rd Ste J",
"city": "Springfield",
"state": "VA",
"country_code": "US",
"postal_code": "221522326",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Springfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.