Individual provider Active NPI

Kian Makipour, MD

  • Gastroenterology Physician
  • Woodbridge, VA
National Provider Identifier
1811148430
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
0101253520 Issued in VA
Practice address
2280 Opitz Blvd
Ste 200
Woodbridge, VA 22191-3330
Phone
(703) 580-7433
Fax
(703) 580-7437
NPI assigned
Oct 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 0101253520 VA Primary

Addresses

Primary practice location

2280 Opitz Blvd
Ste 200
Woodbridge, VA 22191-3330

Mailing address

2280 Opitz Blvd
Ste 200
Woodbridge, VA 22191-3330
Phone (703) 580-7433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20130604000355 VA Practitioner - GastroenterologyPractitioner - Internal Medicine 2062676869 Reassigns benefits to 1 organization
I20141124000229 DC Practitioner - GastroenterologyPractitioner - Internal Medicine 2062676869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Temple University School of Medicine, 2006
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Houshang Makipour, MD PCGroup PAC ID 7214159573, 2 clinicians

Practice addresses (Care Compare)

2280 Opitz Blvd
Suite 200
Woodbridge, VA 22191-3330
Phone (703) 580-7433

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.64 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.45

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy132
Upper gastrointestinal (GI) endoscopy for acid reflux190

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pars Anesthesia Associates, PLLC Current Accepting new patients
Houshang Makipour, MD PC CurrentSince Sep 9, 2014 Accepting new patients

Locations

2280 Opitz Blvd
Ste 200
Woodbridge, VA 22191
Phone 7032959360121

Organizations & group practices 4

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 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": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1811148430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 OPITZ BLVD",
            "address_2": "STE 200",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913330",
            "telephone_number": "703-580-7433",
            "fax_number": "703-580-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 OPITZ BLVD",
            "address_2": "STE 200",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913330",
            "telephone_number": "703-580-7433",
            "fax_number": "703-580-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKIPOUR",
        "first_name": "KIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-01",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "VA",
            "license": "0101253520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.