Payam Pooyan, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

0101257751 Issued in VA

Practice address

19455 Deerfield Ave Ste 206
Leesburg, VA 20176-8102

Phone

(703) 858-9608

Fax

(703) 858-9618

NPI assigned

Apr 13, 2006

Last updated

Jul 10, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, VA, TX, CA4 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 4

Specialty

Internal MedicineAlso: Pulmonary Disease

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ccmma SC LLCGroup PAC ID 7911242201, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Shasta Regional Medical Center Hospital, Redding, CA, CCN 050764

Merit-based Incentive Payment System (MIPS)

Final score

84.14 of 100Reported as group

Quality

83.98

Improvement activities

40

Cost

76.51

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ppooyan166907@valleyhealth.direct-ci.com

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.

• Ccmma SC LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Sumter, SC
  • NPI 1245715796

  DC, Pulmonary Disease

  Medicare reassignment Care Compare group NPD
• Commonwealth Critical Care LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Alexandria, VA
  • NPI 1891210035
  Medicare reassignment NPD
• Winchester Medical Center

  dba Valley Intensivists

  • Critical Care Medicine (Internal Medicine) Physician
  • Winchester, VA
  • NPI 1679711261
  Medicare reassignment NPD
• Ccmma Ca PC

  • Critical Care Medicine (Anesthesiology) Physician
  • Redding, CA
  • NPI 1679293443

  Pulmonary Disease

  Medicare reassignment NPD
• Pulmonary and Critical Care Associates, P.C.

  • Pulmonary Disease Physician
  • Leesburg, VA
  • NPI 1023008182

  DC

  Medicare reassignment
• Ccmma TX PLLC

  • Anesthesiology Physician
  • New York, NY
  • NPI 1841829819

  TX

  Medicare reassignment
• Capital Lung

  • Pulmonary Disease Physician
  • Vienna, VA
  • NPI 1629786181
  NPD (past) Authorized official
• Capital Lung, PLLC

  • Pulmonary Disease Physician
  • Vienna, VA
  • NPI 1184333213
  NPD (past) Authorized official
• Winchester Medical Center

  dba Valley Health Pediatrics Department of Winchester Medical Center

  • Pediatrics Physician
  • Winchester, VA
  • NPI 1013874742
  NPD
• Commonwealth Critical Care LLC

  • Nurse Practitioner
  • Leesburg, VA
  • NPI 1447829163
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Hospital Care Associates, PC

  • Internal Medicine Physician
  • Birmingham, AL
  • NPI 1114015419
  NPD (past)

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

• Prime Healthcare Services - Shasta LLC

  • General Acute Care Hospital
  • Redding, CA
  • NPI 1205089026
  Care Compare affiliation

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1841254265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19455 DEERFIELD AVE STE 206",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768102",
            "telephone_number": "703-858-9608",
            "fax_number": "703-858-9618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19455 DEERFIELD AVE STE 206",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201768102",
            "telephone_number": "703-858-9608",
            "fax_number": "703-858-9618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 Boone Ridge Dr",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376154998",
            "country_code": "US",
            "telephone_number": "423-282-1480",
            "fax_number": "423-928-1353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POOYAN",
        "first_name": "PAYAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "VA",
            "license": "0101257751",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "37872",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "VA",
            "license": "0101257751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel Manalang Polintan Jr., PT,DPT
• Kathleen Louise Pollard, LCSW
• Dean M. Pollock, M.D.
• Catherine Poole
• Sumalee Maneematcha Poonsawat
• Rupa D Porob, PMHNP
• Posabilities Clinic, LLC (PosAbilities ABA Clinic)
• Jagadish Potluri, MD
• Potomac Medical Services
• Joanna Potterfield, FNP

• Pulmonary Disease Physician in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Pulmonary Disease Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.