Organization Active NPI

Fairfax Internal Medicine Associates, PC

  • Internal Medicine Physician
  • Vienna, VA
National Provider Identifier
1790987352
Registry record updated Apr 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101235391 Issued in VA
Legal business name
FAIRFAX INTERNAL MEDICINE ASSOCIATES, PC
Practice address
8302 Old Courthouse Rd Ste C
Vienna, VA 22182-3873
Phone
(703) 462-8138
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2012

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

Authorized official

Name
Dr. Parham Haghighi, MDNPI 1134288699
Title
President
Phone
(703) 462-8138

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 0101235391 VA Primary

Addresses

Primary practice location

8302 Old Courthouse Rd Ste C
Vienna, VA 22182-3873

Mailing address

8188 Madrillon CT
Vienna, VA 22182-3752
Phone (703) 462-8138

Other identifiers 1

IdentifierTypeStateIssuer
G02651OtherVAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070927001041 DC Part B Supplier - Clinic/Group Practice 6800989351 Receives reassigned benefits from 19 practitioners
Practice locations: Vienna, VA

National Provider Directory

National Provider Directory

Locations

8308 Old Courthouse Rd
Ste C
Vienna, VA 22182
Phone (703) 893-1100

8302 Old Courthouse Rd
Ste C
Vienna, VA 22182
Phone (703) 462-8138

8301 Old Courthouse Rd
#C
Vienna, VA 22182

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333670400000",
    "number": "1790987352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8188 MADRILLON CT",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823752",
            "telephone_number": "703-462-8138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8302 OLD COURTHOUSE RD STE C",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823873",
            "telephone_number": "703-462-8138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFAX INTERNAL MEDICINE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2012-04-06",
        "status": "A",
        "authorized_official_last_name": "HAGHIGHI",
        "authorized_official_first_name": "PARHAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-462-8138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101235391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "G02651",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.