Ahmadshah Mirkhel, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

0101239838 Issued in VA

Practice address

13135 Lee Jackson Memorial Hwy
#135
Fairfax, VA 22033-1907

Phone

(703) 961-0488

Fax

(703) 961-0480

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nephrology

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nephrology Associates of Northern Virginia IncGroup PAC ID 4587566138, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Chantilly Dialysis Dialysis facility, Chantilly, VA, CCN 492722
• DaVita Fairfax Dialysis Center Dialysis facility, Fairfax, VA, CCN 492591
• DaVita Annandale Dialysis Dialysis facility, Annandale, VA, CCN 492724
• DaVita CDC-Springfield Dialysis facility, Springfield, VA, CCN 492535
• Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063
• Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101
• Uva Health Haymarket Medical Center Hospital, Haymarket, VA, CCN 490144

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ahmadshah.mirkhel@direct.davitaphysiciansolutions.com
• Direct secure messaging: ahmadshamirkhel@nanv.allscriptsdirect.net

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.

• Nephrology Associates of Northern Virginia, Inc

  • Nephrology Physician
  • Fairfax, VA
  • NPI 1174541049

  DC

  Medicare reassignment Care Compare group NPD
• Fair Oaks Emergency Physicians, PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Fairfax, VA
  • NPI 1649203605
  NPD (past)
• Fair Oaks Hospitalist Physicians, PLLC

  • Hospitalist Physician
  • Fairfax, VA
  • NPI 1275601205
  NPD (past)
• Hospitalist Medicine Physicians of Front Royal, LLC

  • Internal Medicine Physician
  • Winchester, VA
  • NPI 1376850057
  NPD (past)
• Nova Medical and Urgent Care Center, Inc.

  • Family Medicine Physician
  • Ashburn, VA
  • NPI 1588683742
  NPD (past)
• Ogano Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Chantilly, VA
  • NPI 1790213593
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Continental Dialysis Center of Springfield Fairfax Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Springfield, VA
  • NPI 1245294230

  Dialysis facility

  Care Compare affiliation Name & address match
• Neoporte Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Annandale, VA
  • NPI 1215459953

  Dialysis facility

  Care Compare affiliation Name & address match
• Ogano Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Chantilly, VA
  • NPI 1790213593

  Dialysis facility

  Care Compare affiliation Name & address match
• Total Renal Care Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fairfax, VA
  • NPI 1255395158

  Dialysis facility

  Care Compare affiliation Name & address match
• Inova Health Care Services

  • Rehabilitation Hospital Unit
  • Falls Church, VA
  • NPI 1588795462
  Care Compare affiliation
• Inova Health Care Services

  • General Acute Care Hospital
  • Fairfax, VA
  • NPI 1760513980
  Care Compare affiliation
• Inova Health Care Services

  • General Acute Care Hospital
  • Falls Church, VA
  • NPI 1831220714
  Care Compare affiliation
• Uva Prince William Medical Center

  • General Acute Care Hospital
  • Haymarket, VA
  • NPI 1124369137
  Care Compare affiliation

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1790729317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13135 LEE JACKSON MEMORIAL HWY",
            "address_2": "SUITE 135",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331907",
            "telephone_number": "703-961-0488",
            "fax_number": "703-961-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13135 LEE JACKSON MEMORIAL HWY",
            "address_2": "#135",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220331907",
            "telephone_number": "703-961-0488",
            "fax_number": "703-961-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRKHEL",
        "first_name": "AHMADSHAH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101239838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790729317",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Minuteclinic Diagnostic of Virginia LLC
• Alexandra Nicole Minutillo
• Mira Genetix
• Heather Miranda
• Kierstin Mireku
• Kenneth R Mirkin, M.D.
• Fatima Mirza, PHD, LCSW
• Sohail K Mirza, M.D., M.P.H.
• Sulman A Mirza, M.D.
• Alina Mirzayan

• Nephrology Physician in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Nephrology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.