Active NPI
Fariba Rezaee, M.D.
- Pediatric Pulmonology Physician
- Richmond, VA
National Provider Identifier
1619169737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- 0101289021
- Practice address
- 1000 E Broad St
Richmond, VA 23219-1930 - Phone
- (804) 828-2467
- Fax
- (804) 628-5849
- NPI assigned
- Aug 13, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Pulmonology Physician | 2080P0214X | 0101289021 | VA | Primary |
| Pediatric Pulmonology Physician | 2080P0214X | 247171 | NY |
Addresses
Primary practice location
1000 E Broad St
Richmond, VA 23219-1930
Mailing address
PO Box 780125
Philadelphia, PA 19178-0125
Phone (804) 922-4844
Other practice location 1
2924 Brook Rd
Richmond, VA 23220-1215
Phone (804) 828-2467
Other practice location 2
601 Elmwood Ave
Rochester, NY 14642-0001
Phone (585) 276-6044
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810009956 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Cleveland Clinic Foundation | Current | Accepting new patients | |
| MCV Associated Physicians | Past | Accepting new patients |
Locations
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
6801 Mayfield Rd
Ste 200
Mayfield Heights, OH 44124
Phone (440) 312-4981
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
-
- Anesthesiology Physician
- Richmond, VA
- NPI 1710959457
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1619169737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 780125",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191780125",
"telephone_number": "804-922-4844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E BROAD ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232191930",
"telephone_number": "804-828-2467",
"fax_number": "804-628-5849"
}
],
"practiceLocations": [
{
"address_1": "2924 Brook Rd",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232201215",
"country_code": "US",
"telephone_number": "804-828-2467",
"fax_number": "804-628-5849",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 Elmwood Ave",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146420001",
"country_code": "US",
"telephone_number": "585-276-6044",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REZAEE",
"first_name": "FARIBA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-13",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "VA",
"license": "0101289021",
"primary": true
},
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "NY",
"license": "247171",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810009956",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.