Individual provider Active NPI

Azadeh Pajoohesh Goldberg

  • Family Nurse Practitioner
  • MC Lean, VA
National Provider Identifier
1831772409
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024181276 Issued in VA
Practice address
1420 Beverly Rd Ste 3001420
MC Lean, VA 22101-3732
Phone
(703) 852-8588
Fax
(410) 354-7942
NPI assigned
May 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 0024181276 VA
Family Nurse Practitioner 363LF0000X 0024181276 VA Primary

Addresses

Primary practice location

1420 Beverly Rd Ste 3001420
MC Lean, VA 22101-3732

Mailing address

1420 Beverly Rd Ste 3001420
MC Lean, VA 22101-3732
Phone (703) 852-8588

Other practice location 1

2070 Chain Bridge Rd
Vienna, VA 22182-2536
Phone (703) 383-4836

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: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210719000159 DC Practitioner - Nurse Practitioner 7517369275 Reassigns benefits to 5 organizations
I20210719000565 VA Practitioner - Nurse Practitioner 7517369275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone (202) 444-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024181276VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Feb 1, 2025 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 1, 2025 Accepting new patients
MGMC LLC CurrentSince Feb 1, 2025 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 1, 2025 Accepting new patients
Privia Medical Group, LLC CurrentSince Jul 7, 2021 Accepting new patients
Privia Medical Group, LLC CurrentSince Jul 7, 2021 Accepting new patients
MGMC, LLC Current Accepting new patients
Medstar Total Elder Care LLC CurrentSince May 17, 2025 Accepting new patients
Medical Faculty Associates, Inc CurrentSince Jan 20, 2023 Accepting new patients
Capitol Cardiology Associates, LLC Current Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients

Locations

1805 Columbia Rd NW
Washington, DC 20009
Phone (202) 797-4950

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

2150 Pennsylvania Ave NW
Washington, DC 20037
Phone (202) 741-2222

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

2150 Pennsylvania Ave NW
Fl 7
Washington, DC 20037
Phone (202) 741-2700

3800 Reservoir Rd NW
#7
Washington, DC 20007
Phone (202) 444-4972

110 Irving St NW
Rm 3114
Washington, DC 20010
Phone (202) 877-0570

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

8644 Sudley Rd
#220
Manassas, VA 20110

2070 Chain Bridge Rd
Vienna, VA 22182

2070 Chain Bridge Rd
Ste 150
Vienna, VA 22182
Phone (703) 794-5376

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1831772409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 BEVERLY RD STE 3001420",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013732",
            "telephone_number": "703-852-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 BEVERLY RD STE 3001420",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013732",
            "telephone_number": "703-852-8588",
            "fax_number": "410-354-7942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2070 Chain Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "VA",
            "postal_code": "221822536",
            "country_code": "US",
            "telephone_number": "703-383-4836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDBERG",
        "first_name": "AZADEH",
        "middle_name": "PAJOOHESH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0024181276",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024181276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

Verify at the official NPI Registry.