Organization Active NPI

Neurological Institute of Northern Virginia, PC

  • Specialist
  • Alexandria, VA
National Provider Identifier
1841497583
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101235251 Issued in VA
Legal business name
NEUROLOGICAL INSTITUTE OF NORTHERN VIRGINIA, PC
Practice address
5130 Duke St
Suite 9
Alexandria, VA 22304-2924
Phone
(703) 370-9411
Fax
(703) 370-9417
NPI assigned
Jun 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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

Authorized official

Name
Haideh Yazdani Sabet, MDNPI 1306857552
Title
President
Phone
(703) 370-9411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0101235251 VA Primary

Addresses

Primary practice location

5130 Duke St
Suite 9
Alexandria, VA 22304-2924

Mailing address

5130 Duke St
Suite 9
Alexandria, VA 22304-2924
Phone (703) 370-9411

Other identifiers 1

IdentifierTypeStateIssuer
010111528MedicaidVA

Other names 1

  • Haideh Y. Sabet, MD Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040603000934 DC Part B Supplier - Clinic/Group Practice 9133101173 Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1841497583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 DUKE ST",
            "address_2": "SUITE 9",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223042924",
            "telephone_number": "703-370-9411",
            "fax_number": "703-370-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 DUKE ST",
            "address_2": "SUITE 9",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223042924",
            "telephone_number": "703-370-9411",
            "fax_number": "703-370-9417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGICAL INSTITUTE OF NORTHERN VIRGINIA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "SABET",
        "authorized_official_first_name": "HAIDEH",
        "authorized_official_middle_name": "YAZDANI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-370-9411",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101235251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010111528",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haideh Y. Sabet, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.