NPIMap

Individual provider Active NPI

Subash B. Bazaz, M.D.

  • Cardiovascular Disease Physician
  • Leesburg, VA
National Provider Identifier
1619971264
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101232467 Issued in VA
Practice address
44035 Riverside Pkwy
Ste 400
Leesburg, VA 20176-8260
Phone
(703) 858-5421
Fax
(703) 858-9573
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0101232467 VA Primary

Addresses

Primary practice location

44035 Riverside Pkwy
Ste 400
Leesburg, VA 20176-8260

Mailing address

2901 Telestar CT.
#300
Falls Church, VA 22042-1261
Phone (703) 591-1688

Other practice location 1

1850 Town Center Pkwy # 550
Reston, VA 20190-3219
Phone (703) 437-5977

Other practice location 2

11800 Sunrise Valley Dr Ste 500
Reston, VA 20191-5303
Phone (703) 437-5977

Other identifiers 5

IdentifierTypeStateIssuer
060066479OtherDCRAILROAD MEDICARE DC #
1619971264MedicaidVA
034162800MedicaidDC
487504400MedicaidMD
060066480OtherVARAILROAD MEDICARE VA #

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sbazaz24795@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100121000790 DC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0840332367 Reassigns benefits to 3 organizations
I20100122000678 VA Practitioner - Cardiovascular Disease (Cardiology) 0840332367 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Albany Medical College of Union University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Health Care Services 1,821 clinicians

Practice addresses (Care Compare)

1005 N Glebe Rd
Arlington, VA 22201-5766

120 B N Maple Ave
Purcellville, VA 20132-3180
Phone (703) 723-8664

224 A Cornwall St NW
Suite 3.024
Leesburg, VA 20176-2701
Phone (703) 771-2837

224 B Cornwall NWST
Leesburg, VA 20176-2701

224 Cornwall St NW
Leesburg, VA 20176-2701
Phone (703) 771-2894

2901 Telestar CT
Falls Church, VA 22042-1260

2901 Telestar CT
Suite 200
Falls Church, VA 22042-1262
Phone (703) 573-3494

3300 Gallows Rd
Falls Church, VA 22042-3307

3580 Joseph Siewick Dr
Fairfax, VA 22033-1764

44035 Riverside Pkwy
Leesburg, VA 20176-8260

44045 Rivderside Pkwy
Leesburg, VA 20176-5101

Hospital & facility affiliations

  • Inova Loudoun Hospital Hospital, Leesburg, VA, CCN 490043
  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063
  • Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Virginia Community Hospital LLC Cardiovascular Disease CurrentSince May 16, 2017 Accepting new patients
Reston Hospital Center, LLC CurrentSince Aug 20, 2016 Accepting new patients
Inova Health Care Services CurrentSince Mar 26, 2011 Accepting new patients
The Cardiovascular Group, PC Cardiovascular Disease CurrentSince Aug 1, 2002 Accepting new patients
Reston Hospital Center, LLC CurrentSince Aug 20, 2016 Accepting new patients
Northern Virginia Community Hospital, LLC CurrentSince May 16, 2017 Accepting new patients
Inova Health Care Services CurrentSince Mar 26, 2011 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2901 Telestar Ct
Ste 300
Falls Church, VA 22042
Phone (703) 591-1688

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

44035 Riverside Pkwy
Ste 400
Leesburg, VA 20176
Phone (703) 858-5421

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

120B N Maple Ave
Purcellville, VA 20132
Phone (703) 723-8664

1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922

1850 Town Center Pkwy
Ste 550
Reston, VA 20190
Phone (703) 437-5977

11800 Sunrise Valley Dr
Ste 500
Reston, VA 20191
Phone (703) 437-5977

24570 Medical Dr
Sterling, VA 20166
Phone (571) 367-4400

24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696

1900 Gallows Rd
Ste 110
Vienna, VA 22182
Phone (703) 281-1265

Organizations & group practices 30

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.

View all 30

Hospital & facility affiliations 5

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1619971264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 TELESTAR CT.",
            "address_2": "#300",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421261",
            "telephone_number": "703-591-1688",
            "fax_number": "703-591-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44035 RIVERSIDE PKWY",
            "address_2": "STE 400",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768260",
            "telephone_number": "703-858-5421",
            "fax_number": "703-858-9573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 Town Center Pkwy # 550",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201903219",
            "country_code": "US",
            "telephone_number": "703-437-5977",
            "fax_number": "703-478-2475",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11800 Sunrise Valley Dr Ste 500",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201915303",
            "country_code": "US",
            "telephone_number": "703-437-5977",
            "fax_number": "703-478-2475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAZAZ",
        "first_name": "SUBASH",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101232467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE DC #",
            "identifier": "060066479",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619971264",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034162800",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "487504400",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE VA #",
            "identifier": "060066480",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbazaz24795@soc.inova.org",
            "affiliation": "N",
            "address_1": "44035 Riverside Pkwy",
            "address_2": "Ste 400",
            "city": "Leesburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201768260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.