Individual provider Active NPI

Reza Khan Omarzai, M.D.

  • Cardiovascular Disease Physician
  • Prince George, VA
National Provider Identifier
1821016288
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0101057678 Issued in VA
Practice address
4700 Puddledock Rd
400
Prince George, VA 23875-1268
Phone
(804) 458-1740
Fax
(804) 541-1846
NPI assigned
Jul 17, 2006
Last updated
Jul 9, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 0101057678 VA Primary

Addresses

Primary practice location

4700 Puddledock Rd
400
Prince George, VA 23875-1268

Mailing address

8001 Franklin Farms Dr
Suite 130
Richmond, VA 23229-5108
Phone (804) 521-5800

Other identifiers 16

IdentifierTypeStateIssuer
82965OtherVASOUTHERN HEALTH SERVICES
2035202OtherVAAETNE/US HEALTHCARE HMO
25-00848OtherVAUNITED HEALTHCARE
103784OtherVAANTHEM/VA HEALTHKEEPERS
276236OtherVAANTHEM/VA HEALTHKEEPERS
60050394OtherVARAILROAD MEDICARE
2013957OtherVICIGNA
258991OtherVAMAMSI
27413300OtherVAFEDERAL BLACK LUNG
276206OtherVAANTHEM/VA HEALTHKEEPERS
5814961MedicaidVA
204685OtherVAANTHEM/VA HEALTHKEEPERS
23219OtherVASENTARA HEALTH/OPTIMA
276255OtherVAANTHEM/VA HEALTHKEEPERS
276362OtherVAANTHEM/VA HEALTHKEEPERS
5105601OtherVAAETNE/US HEALTHCARE

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
I20101020001304 VA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0446225759 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

411 W Randolph Rd
Hopewell, VA 23860-2938
Phone (804) 541-1600

4700 Puddledock Rd
Suite 400
Prince George, VA 23875-1237
Phone (804) 458-1740

7101 Jahnke Rd
Richmond, VA 23225-4017
Phone (804) 323-8813

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.6 of 100Reported as group
Quality
72.1
Promoting interoperability
100
Improvement activities
40
Cost
76.57

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Chippenham & Johnston-Willis Hospitals, Inc. CurrentSince Jun 20, 2015 Accepting new patients
Virginia Cardiovascular Specialists CurrentSince Jul 28, 1998 Accepting new patients
Virginia Cardiovascular Specialists Cardiovascular Disease CurrentSince Jul 28, 1998 Accepting new patients
Chippenham & Johnston-Willis Hospitals, Inc. Current Accepting new patients
Columbia/HCA John Randolph, Inc. Cardiovascular Disease CurrentSince Apr 24, 2016 Accepting new patients

Locations

411 W Randolph Rd
Hopewell, VA 23860
Phone (804) 452-3624

4700 Puddledock Rd
Ste 400
Prince George, VA 23875
Phone (804) 458-1740

5875 Bremo Rd
Ste 104
Richmond, VA 23226
Phone (804) 281-8182

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

7611 Forest Ave
Ste 100
Richmond, VA 23229
Phone (804) 288-4827

8001 Franklin Farms Dr
Rm 130
Richmond, VA 23229
Phone (804) 521-5800

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: reza.omarzai.p1@direct.vacardio.nextgenshare.com
  • Direct secure messaging: reza.omarzai.p2@direct.vacardio.nextgenshare.com

Organizations & group practices 5

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1821016288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 FRANKLIN FARMS DR",
            "address_2": "SUITE 130",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232295108",
            "telephone_number": "804-521-5800",
            "fax_number": "804-545-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 PUDDLEDOCK RD",
            "address_2": "400",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238751268",
            "telephone_number": "804-458-1740",
            "fax_number": "804-541-1846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMARZAI",
        "first_name": "REZA",
        "middle_name": "KHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101057678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH SERVICES",
            "identifier": "82965",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNE/US HEALTHCARE HMO",
            "identifier": "2035202",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "25-00848",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/VA HEALTHKEEPERS",
            "identifier": "103784",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/VA HEALTHKEEPERS",
            "identifier": "276236",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "60050394",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2013957",
            "state": "VI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "258991",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG",
            "identifier": "27413300",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/VA HEALTHKEEPERS",
            "identifier": "276206",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5814961",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/VA HEALTHKEEPERS",
            "identifier": "204685",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA HEALTH/OPTIMA",
            "identifier": "23219",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/VA HEALTHKEEPERS",
            "identifier": "276255",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/VA HEALTHKEEPERS",
            "identifier": "276362",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNE/US HEALTHCARE",
            "identifier": "5105601",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince George, VA

Sources for this page

Verify at the official NPI Registry.