Individual provider Active NPI

Mohammad Monireddin Ghazvini, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Woodbridge, VA
National Provider Identifier
1689680472
Registry record updated Oct 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
0101238289 Issued in VA
Practice address
1990 Old Bridge Rd Ste 201
Woodbridge, VA 22192-2383
Phone
(703) 492-6822
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101238289 VA
Clinical Cardiac Electrophysiology Physician 207RC0001X 0101238289 VA Primary

Addresses

Primary practice location

1990 Old Bridge Rd Ste 201
Woodbridge, VA 22192-2383

Mailing address

1990 Old Bridge Rd Ste 201
Woodbridge, VA 22192-2383
Phone (703) 492-6822

Other practice location 1

2300 Opitz Blvd
Woodbridge, VA 22191-3311
Phone (703) 670-1313

Other practice location 2

1990 Old Bridge Rd Ste 101
Woodbridge, VA 22192-2383
Phone (703) 492-6822

Other practice location 3

422 Garrisonville Rd Ste 104
Stafford, VA 22554-1573
Phone (540) 628-2173

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111227000593 DC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Other (Physician) 1850567793 Reassigns benefits to 3 organizations
I20140617002198 VA Practitioner - Cardiovascular Disease (Cardiology) 1850567793 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
James River Cardiology, LLCGroup PAC ID 0941499594, 49 clinicians

Practice addresses (Care Compare)

1990 Old Bridge Rd
Suite 201
Woodbridge, VA 22192-2383
Phone (703) 492-6822

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 730-8002

Hospital & facility affiliations

  • Sentara Northern Virginia Medical Center Hospital, Woodbridge, VA, CCN 490113
  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063
  • Stafford Hospital, LLC Hospital, Stafford, VA, CCN 490140
  • Mary Washington Hospital Hospital, Fredericksburg, VA, CCN 490022

Merit-based Incentive Payment System (MIPS)

Final score
89.95 of 100Reported as group
Quality
93.11
Promoting interoperability
100
Improvement activities
40
Cost
73.41

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair58

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Apr 26, 2015 Accepting new patients
Howard University Internal Medicine CurrentSince Jan 1, 2014 Accepting new patients
James River Cardiology, LLC Clinical Cardiac Electrophysiology CurrentSince Sep 30, 2024 Accepting new patients
Inova Health Care Services Internal Medicine CurrentSince Apr 26, 2015 Accepting new patients

Locations

2041 Georgia Ave NW
Washington, DC 20060
Phone (202) 865-3785

2101 Medical Park Dr
Ste 305
Silver Spring, MD 20902
Phone (301) 754-0833

445 Charles H Dimmock Pkwy
Ste 100
Colonial Hgts, VA 23834

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

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

422 Garrisonville Rd
Ste 104
Stafford, VA 22554
Phone (540) 288-8352

2300 Opitz Blvd
Woodbridge, VA 22191
Phone (703) 523-1000

1990 Old Bridge Rd
Ste 101
Woodbridge, VA 22192
Phone (703) 212-6600

1990 Old Bridge Rd
Ste 201
Woodbridge, VA 22192

Organizations & group practices 4

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.

Hospital & facility affiliations 7

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728691200000",
    "number": "1689680472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 OLD BRIDGE RD STE 201",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922383",
            "telephone_number": "703-492-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 OLD BRIDGE RD STE 201",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922383",
            "telephone_number": "703-492-6822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Opitz Blvd",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221913311",
            "country_code": "US",
            "telephone_number": "703-670-1313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1990 Old Bridge Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221922383",
            "country_code": "US",
            "telephone_number": "703-492-6822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "422 Garrisonville Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225541573",
            "country_code": "US",
            "telephone_number": "540-628-2173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONIREDDIN GHAZVINI",
        "first_name": "MOHAMMAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101238289",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "VA",
            "license": "0101238289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.