Individual provider Active NPI

Fakhria Masumi Khorrami, MD

  • Family Medicine Physician
  • Springfield, VA
National Provider Identifier
1609911601
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101049915 Issued in VA
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

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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, 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
I20120410000460 DC Practitioner - Family PracticePractitioner - General Surgery 5799946281 Reassigns benefits to 2 organizations
I20180301002545 VA Practitioner - Family PracticePractitioner - General 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
Inova Ucc LLCGroup PAC ID 7012385040, 158 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
0101049915VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Dec 10, 2017 Accepting new patients
Inova Health Care Services Current Accepting new patients
Inova Ucc LLC CurrentSince Nov 15, 2022 Accepting new patients
Inova Health Care Services CurrentSince Dec 10, 2017 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.