Individual provider Active NPI

Sima Fartash, MD

  • Family Medicine Physician
  • Leesburg, VA
National Provider Identifier
1750564589
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101242784 Issued in VA
Practice address
821 S King St
Suite E
Leesburg, VA 20175-3921
Phone
(703) 669-0005
Fax
(703) 669-0015
NPI assigned
Dec 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101242784 VA Primary

Addresses

Primary practice location

821 S King St
Suite E
Leesburg, VA 20175-3921

Mailing address

821 S King St
Suite E
Leesburg, VA 20175-3921
Phone (703) 669-0005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20100513000245 VA Practitioner - Family Practice 5698803526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Howard University College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woodbridge Internal Medicine PCGroup PAC ID 5890851281, 2 clinicians

Practice addresses (Care Compare)

2200 Opitz Blvd
Suite 235
Woodbridge, VA 22191-3343
Phone (703) 910-7390

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Woodbridge Internal Medicine, PC CurrentSince Dec 1, 2012 Accepting new patients
Ashburn Medical Center PC Family Medicine Past Accepting new patients

Locations

2200 Opitz Blvd
Ste 235
Woodbridge, VA 22191
Phone (703) 491-4212

2022 Opitz Blvd
Ste B
Woodbridge, VA 22191
Phone (571) 398-2341

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCIFAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/CCIFAA/Endpoint/CCIFAA

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1197763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1750564589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 S KING ST",
            "address_2": "SUITE E",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201753921",
            "telephone_number": "703-669-0005",
            "fax_number": "703-669-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 S KING ST",
            "address_2": "SUITE E",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201753921",
            "telephone_number": "703-669-0005",
            "fax_number": "703-669-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARTASH",
        "first_name": "SIMA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-16",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101242784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.