Individual provider Active NPI

Behnam Daghigh, M.D.

  • Allergy & Immunology Physician
  • Leesburg, VA
National Provider Identifier
1629045729
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
101056277 Issued in VA
Practice address
19465 Deerfield Ave Ste 101
Leesburg, VA 20176-1702
Phone
(703) 726-9720
Fax
(703) 726-9721
NPI assigned
Mar 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 101056277 VA Primary

Addresses

Primary practice location

19465 Deerfield Ave Ste 101
Leesburg, VA 20176-1702

Mailing address

PO Box 650668
Sterling, VA 20165-0668
Phone (703) 726-9720

Other identifiers 1

IdentifierTypeStateIssuer
010067138MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040722000289 VA Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 8325026628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
West Virginia University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allergy Asthma and Sinus Center PCGroup PAC ID 4284612573, 3 clinicians

Practice addresses (Care Compare)

19465 Deerfield Ave
Leesburg, VA 20176-1702
Phone (703) 726-9720

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101056277VAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
Allergy, Asthma and Sinus Center of Central Virginia Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1629045729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650668",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201650668",
            "telephone_number": "703-726-9720",
            "fax_number": "703-726-9721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19465 DEERFIELD AVE STE 101",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201761702",
            "telephone_number": "703-726-9720",
            "fax_number": "703-726-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGHIGH",
        "first_name": "BEHNAM",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2023-01-05",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "VA",
            "license": "101056277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010067138",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.