NPIMap

Individual provider Active NPI

Mohammad Sanaei Ardekani, M.D.

  • Nephrology Physician
  • Manassas, VA
National Provider Identifier
1841410065
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0101246975 Issued in VA
Practice address
9378 Forestwood LN
Suite E
Manassas, VA 20110-4741
Phone
(703) 361-7341
Fax
(703) 368-9757
NPI assigned
Apr 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 0101246975 VA Primary

Addresses

Primary practice location

9378 Forestwood LN
Suite E
Manassas, VA 20110-4741

Mailing address

9378 Forestwood LN Ste E
Manassas, VA 20110-4742

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address msanaeiardekani13888@direct.acumenmd.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070824000150 DC Practitioner - NephrologyPractitioner - Internal Medicine 1850483629 Reassigns benefits to 1 organization
I20100827000145 VA Practitioner - NephrologyPractitioner - Internal Medicine 1850483629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney and Hypertension Specialists, PLLCGroup PAC ID 5890792444, 7 clinicians

Practice addresses (Care Compare)

9378 Forestwood LN
Suite E
Manassas, VA 20110-4742
Phone (703) 361-7341

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.69 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
72.3

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101246975VAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Specialists PA Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: msanaeiardekani13888@direct.acumenmd.com

Organizations & group practices 3

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 5

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": "1177632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1841410065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9378 FORESTWOOD LN STE E",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9378 FORESTWOOD LN",
            "address_2": "SUITE E",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201104741",
            "telephone_number": "703-361-7341",
            "fax_number": "703-368-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANAEI ARDEKANI",
        "first_name": "MOHAMMAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-27",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101246975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msanaeiardekani13888@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "9378 Forestwood Ln",
            "address_2": "Suite E",
            "city": "Manassas",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201104741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manassas, VA

Sources for this page

Verify at the official NPI Registry.