Individual provider Active NPI

Sepehr Mesdaghinia, M.D.

  • Rheumatology Physician
  • Leesburg, VA
National Provider Identifier
1699069898
Registry record updated Mar 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
0101263148 Issued in VA
Practice address
821 S King St Ste L
Leesburg, VA 20175-3922
Phone
(703) 988-4142
Fax
(703) 988-4147
NPI assigned
Jun 6, 2011
Last updated
Mar 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT199570 PA
Rheumatology Physician 207RR0500X 0101263148 VA Primary
Hospitalist Physician 208M00000X MD043208 DC

Addresses

Primary practice location

821 S King St Ste L
Leesburg, VA 20175-3922

Mailing address

821 S King St Ste L
Leesburg, VA 20175-3922
Phone (703) 988-4142

Other practice location 1

8100 Boone Blvd Ste 300
Vienna, VA 22182-2642
Phone (703) 988-4142

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
I20140909000750 DC Practitioner - RheumatologyPractitioner - Internal Medicine 9335368208
I20180221003124 VA Practitioner - Rheumatology 9335368208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

46440 Benedict Dr
Suite 206
Sterling, VA 20164-6602
Phone (703) 988-4142

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT199570PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1699069898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 S KING ST STE L",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201753922",
            "telephone_number": "703-988-4142",
            "fax_number": "703-988-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 S KING ST STE L",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201753922",
            "telephone_number": "703-988-4142",
            "fax_number": "703-988-4147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8100 Boone Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "VA",
            "postal_code": "221822642",
            "country_code": "US",
            "telephone_number": "703-988-4142",
            "fax_number": "703-988-4147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MESDAGHINIA",
        "first_name": "SEPEHR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-06",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT199570",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "VA",
            "license": "0101263148",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "DC",
            "license": "MD043208",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.