Individual provider Active NPI

Gelareh K Alavi, M.D.

  • Infectious Disease Physician
  • Fairfax, VA
National Provider Identifier
1801080197
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
0101250068 Issued in VA
Practice address
11211 Waples Mill Rd Ste 200
Fairfax, VA 22030-7406
Phone
(703) 246-9560
NPI assigned
Aug 30, 2007
Last updated
Jun 29, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 0101250068 VA Primary

Addresses

Primary practice location

11211 Waples Mill Rd Ste 200
Fairfax, VA 22030-7406

Mailing address

11211 Waples Mill Rd Ste 200
Fairfax, VA 22030-7406
Phone (703) 246-9560

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20111019000530 DC Practitioner - Infectious Disease 6204995749 Reassigns benefits to 1 organization
I20171109001954 VA Practitioner - Infectious Disease 6204995749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infectious Disease ConsultantsGroup PAC ID 2466550090, 10 clinicians

Practice addresses (Care Compare)

11211 Waples Mill Rd
Suite 200
Fairfax, VA 22030-7406
Phone (703) 246-9560

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101250068VAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Infectious Disease Consultants Infectious Disease CurrentSince Sep 1, 2011 Accepting new patients

Locations

11211 Waples Mill Rd
Ste 200
Fairfax, VA 22030
Phone (703) 246-9560

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309305600000",
    "number": "1801080197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11211 WAPLES MILL RD STE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307406",
            "telephone_number": "703-246-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11211 WAPLES MILL RD STE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307406",
            "telephone_number": "703-246-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAVI",
        "first_name": "GELAREH",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-30",
        "last_updated": "2011-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "VA",
            "license": "0101250068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.