Matindokht Taheri, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0024174812 Issued in VA

Practice address

8008 Westpark Dr
MC Lean, VA 22102-3109

Phone

(844) 549-0597

NPI assigned

Jul 23, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Matin Changiz Former name

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: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

James River Cardiology, LLCGroup PAC ID 0941499594, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sentara Northern Virginia Medical Center Hospital, Woodbridge, VA, CCN 490113
• Stafford Hospital, LLC Hospital, Stafford, VA, CCN 490140
• Mary Washington Hospital Hospital, Fredericksburg, VA, CCN 490022

Merit-based Incentive Payment System (MIPS)

Final score

89.95 of 100Reported as group

Quality

93.11

Promoting interoperability

100

Improvement activities

40

Cost

73.41

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: matindokht.taheri.1@31267.direct.athenahealth.com

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.

• James River Cardiology, LLC

  • Cardiovascular Disease Physician
  • Colonial Heights, VA
  • NPI 1407157647
  Medicare reassignment Care Compare group NPD
• Allergy Partners, PLLC

  • Allergy & Immunology Physician
  • Greenville, SC
  • NPI 1215927462
  NPD (past)

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

• Mary Washington Hospital Inc.

  • General Acute Care Hospital
  • Fredericksburg, VA
  • NPI 1942288527
  Care Compare affiliation
• Mary Washington Hospital, Inc.

  • Cardiovascular Disease Physician
  • Fredericksburg, VA
  • NPI 1013089879

  Hospital

  Care Compare affiliation
• Mary Washington Hospital, Inc.

  • Home Health Agency
  • Fredericksburg, VA
  • NPI 1407814163

  Hospital

  Care Compare affiliation
• Potomac Hospital Corporation of Prince William

  • General Acute Care Hospital
  • Woodbridge, VA
  • NPI 1548366404
  Care Compare affiliation
• Stafford Hospital, LLC

  • General Acute Care Hospital
  • Stafford, VA
  • NPI 1043343304
  Care Compare affiliation

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

{
    "created_epoch": "1500768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728691200000",
    "number": "1821511734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 RIVA RIDGE DR",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220661616",
            "telephone_number": "703-863-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8008 WESTPARK DR",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023109",
            "telephone_number": "844-549-0597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1990 Old Bridge Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221922383",
            "country_code": "US",
            "telephone_number": "703-492-6822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1990 Old Bridge Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221922383",
            "country_code": "US",
            "telephone_number": "703-492-6822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "422 Garrisonville Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Stafford",
            "state": "VA",
            "postal_code": "225541573",
            "country_code": "US",
            "telephone_number": "540-628-2173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAHERI",
        "first_name": "MATINDOKHT",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-23",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0024174812",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024174812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATIN",
            "last_name": "CHANGIZ",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Swanson, M.D.
• Kathleen Sweeney
• Amber Hameed Syed, MD (MBBS)
• Nava Szwergold, PT, DPT
• Christine Anne Tagayun, MD, MS
• Saeed Taheri, M.D.
• Lily Talakoub, M.D.
• Anil Taneja, MD
• Tara Mind Inc
• Samir Vinodrai Tarpara, M.D.

• Nurse Practitioner in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2024; 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.