Active NPI
Carol Bezirganian Perez, M.D.
- Psychiatry Physician
- Fairfax, VA
National Provider Identifier
1629044813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101049617
- Practice address
- 8550 Arlington Blvd
Suite 300
Fairfax, VA 22031-4634 - Phone
- (703) 969-0781
- NPI assigned
- Feb 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0101049617 | VA | Primary |
Addresses
Primary practice location
8550 Arlington Blvd
Suite 300
Fairfax, VA 22031-4634
Mailing address
3025 Hamaker CT Ste 290
Fairfax, VA 22031-2237
Phone (703) 969-0781
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018375I65 | Other | DC | MEDICARE NUMBER |
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 |
|---|---|---|---|---|
| I20050519000898 | DC | Practitioner - Psychiatry | 7012958002 | Practice locations: Fairfax, VA |
| I20140722000464 | VA | Practitioner - Psychiatry | 7012958002 | Practice locations: Fairfax, VA |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Icahn School of Medicine at Mount Sinai, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3025 Hamaker CT
Suite 290
Fairfax, VA 22031-2237
Phone (703) 969-0781
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Visions Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Fairfax, VA
- NPI 1861531063
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593216000000",
"number": "1629044813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3025 HAMAKER CT STE 290",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220312237",
"telephone_number": "703-969-0781",
"fax_number": "703-573-5429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8550 ARLINGTON BLVD",
"address_2": "SUITE 300",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314634",
"telephone_number": "703-969-0781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "CAROL",
"middle_name": "BEZIRGANIAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-27",
"last_updated": "2020-06-27",
"certification_date": "2020-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101049617",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NUMBER",
"identifier": "018375I65",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
- Carlyn Penwell, DNP, CNM
- Rosa Emilia Pereira-Bull, MSW
- Danyelle Maria Pereira, PA
- Miriam Chithrani Pereira, MD
- Emily Melissa Perez Clark
- Randy Gonzalo Perez, CSFA
- Sahar H Perez, PA-C
- Mary Pat McGuire Peri, MA, CCC-SLP
- Jisel Juliana Perilla, LPC
- Perinatal Associates of Northern Virginia/Alfred N. Khoury, MD/PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2020; 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.