Individual provider Active NPI

Amir H Shahlaee, MD

  • Allergy & Immunology Physician
  • Annandale, VA
National Provider Identifier
1649214529
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
D0057508 Issued in MD
Practice address
4534A John Marr Dr
Annandale, VA 22003-3308
Phone
(301) 962-5800
Fax
(301) 962-9585
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X D57508 MD
Pediatric Hematology & Oncology Physician 2080P0207X ME92043 FL
Allergy & Immunology Physician 207K00000X D0057508 MD Primary

Addresses

Primary practice location

4534A John Marr Dr
Annandale, VA 22003-3308

Mailing address

11002 Veirs Mill Road, Suite 414
Institute for Asthma and Allergy
Wheaton, MD 20902
Phone (301) 962-5800

Other identifiers 2

IdentifierTypeStateIssuer
271425600MedicaidFL
027555700MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20160524000027 DC Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 6204888415 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
Medical College of Georgia School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

3301 Woodburn Rd
Suite 104
Annandale, VA 22003-1229
Phone (240) 205-2156

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0057508MDMDAllergy & Immunology Physician
006147GAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Jul 18, 2024 Accepting new patients
Institute for Asthma and Allergy P.C. Allergy & Immunology CurrentSince Apr 1, 2016 Accepting new patients
Dr. Helbing Allergy & Asthma Associates, LTD. Allergy & Immunology CurrentSince Jul 1, 2018 Accepting new patients
Privia Medical Group, LLC Allergy & Immunology CurrentSince Jul 18, 2024 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

11002 Veirs Mill Rd
Ste 414
Wheaton, MD 20902
Phone (301) 962-1605

3301 Woodburn Rd
Ste 105
Annandale, VA 22003
Phone (703) 205-6210

4534A John Marr Dr
Annandale, VA 22003
Phone (703) 750-9450

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

1830 Town Center Dr
Ste 206
Reston, VA 20190
Phone (703) 437-5151

6210 Old Keene Mill Ct
Springfield, VA 22152
Phone (703) 451-1210

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: amir.shahlaee.1@8042.direct.athenahealth.com
  • Direct secure messaging: ashahlaee@iasthma.curemd.direct-ci.com

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1649214529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11002 VEIRS MILL ROAD, SUITE 414",
            "address_2": "INSTITUTE FOR ASTHMA AND ALLERGY",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "20902",
            "telephone_number": "301-962-5800",
            "fax_number": "301-962-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4534A JOHN MARR DR",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220033308",
            "telephone_number": "301-962-5800",
            "fax_number": "301-962-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHLAEE",
        "first_name": "AMIR",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "MD",
            "license": "D57508",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "FL",
            "license": "ME92043",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MD",
            "license": "D0057508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271425600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027555700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annandale, VA

Sources for this page

Verify at the official NPI Registry.