Sara M Bahraini, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0101266923 Issued in VA

Practice address

625 Slaters LN Ste 103
Alexandria, VA 22314

Phone

(571) 800-9909

NPI assigned

Apr 9, 2014

Last updated

Jul 24, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Aug 15, 2019 through Aug 15, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1720407547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 SLATERS LN STE 103",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223141176",
            "telephone_number": "571-800-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 SLATERS LN STE 103",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22314",
            "telephone_number": "571-800-9909"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 W Pratt St",
            "address_2": "Rm 474",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212011023",
            "country_code": "US",
            "telephone_number": "410-328-6325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAHRAINI",
        "first_name": "SARA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-09",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101266923",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MD",
            "license": "D0083268",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sepideh Badri, DDS
• Mijung Baek, CRNA
• Hela Baer, LCSW
• Socorrito Louise Baez-Page, MD
• Arash Baghi, DDS
• Naghmeh Bahramian
• Mojde Bahremand, O.D.
• Anosha Baig
• Maarij Baig, D.O.
• Alice Bailes, CNM

• Psychiatry Physician in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.