NPIMap

Individual provider Active NPI

Shahryar Mafi, M.D.

  • Cardiovascular Disease Physician
  • Manassas, VA
National Provider Identifier
1750338505
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101055791 Issued in VA
Practice address
8100 Ashton Ave
Suite 200
Manassas, VA 20109-5622
Phone
(703) 331-0300
Fax
(703) 331-0254
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0101055791 VA Primary

Addresses

Primary practice location

8100 Ashton Ave
Suite 200
Manassas, VA 20109-5622

Mailing address

8100 Ashton Ave
Suite 200
Manassas, VA 20109-5622
Phone (703) 331-0300

Other identifiers 4

IdentifierTypeStateIssuer
G00773OtherDCMEDICARE DC PTAN
C09878OtherVAMEDICARE OF VA PTAN
C08583OtherVAMEDICARE OF VA PTAN
C06380OtherVAMEDICARE OF VA PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041203000030 VA Practitioner - Cardiovascular Disease (Cardiology) 1658336425 Reassigns benefits to 2 organizations
I20050114000857 DC Practitioner - Cardiovascular Disease (Cardiology) 1658336425 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carient Heart and Vascular, LLCGroup PAC ID 4082972468, 25 clinicians

Practice addresses (Care Compare)

1850 Town Ctr Pkwy
Reston, VA 20190-3300
Phone (877) 415-4116

8100 Ashton Ave
Suite 200
Manassas, VA 20109-5688
Phone 57158117712611

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.08 of 100Reported as group
Quality
82.3
Promoting interoperability
99
Improvement activities
40
Cost
75.47

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101055791VAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Warrenton Heart Center LLC Past Accepting new patients
Virginia Nuclear Cardiology PLC Past Accepting new patients
Manassas Heart Center LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: shahryar.mafi.p1@direct.chv.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Home Health Connection, IncReston, VA, CCN 497781 Home health agency Corporate Director May 15, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

Hospital & facility affiliations 5

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1750338505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 ASHTON AVE",
            "address_2": "SUITE 200",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201095622",
            "telephone_number": "703-331-0300",
            "fax_number": "703-331-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 ASHTON AVE",
            "address_2": "SUITE 200",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201095622",
            "telephone_number": "703-331-0300",
            "fax_number": "703-331-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAFI",
        "first_name": "SHAHRYAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101055791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DC PTAN",
            "identifier": "G00773",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OF VA PTAN",
            "identifier": "C09878",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OF VA PTAN",
            "identifier": "C08583",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OF VA PTAN",
            "identifier": "C06380",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.