Active NPI
Pouya Tahsili Fahadan, M.D.
- Vascular Neurology Physician
- Falls Church, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Neurology Physician
- License
- 0101261445
- Practice address
- 3300 Gallows Rd
Inova Fairfax Hospital
Falls Church, VA 22042-3307 - Phone
- (843) 566-2407
- NPI assigned
- Jun 24, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2010013996 | MO | |
| Neurology Physician | 2084N0400X | MD042162 | DC | |
| Neurology Physician | 2084N0400X | 0101261445 | VA | |
| Vascular Neurology Physician | 2084V0102X | 0101261445 | VA | Primary |
| Neurocritical Care Physician | 2084A2900X | 0101261445 | VA |
Addresses
Primary practice location
3300 Gallows Rd
Inova Fairfax Hospital
Falls Church, VA 22042-3307
Mailing address
8643 Stonecutter Rd
Columbia, MD 21045-2606
Phone (843) 566-2407
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA, MD, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Inova Health Care Services
Practice addresses (Care Compare)
1500 N Beauregard St
Suite 300
Alexandria, VA 22311-1715
Phone (703) 845-1500
3300 Gallows Rd
Falls Church, VA 22042-3307
Phone (703) 776-4001
44045 Rivderside Pkwy
Leesburg, VA 20176-5101
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.36 of 100
- Quality
- 73.03
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101261445 | VA | MD | Neurocritical Care Physician |
| MD042162 | DC | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Internal Medicine | Current | Accepting new patients |
| Medstar Medical Group II LLC | Internal Medicine | Current | Accepting new patients |
| Idoc Virtual Neuro Critical Care LLC | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Inova Health Care Services | Internal Medicine | Current | Accepting new patients |
| Ozarks Medical Center | Neurology | Past | Accepting new patients |
Locations
1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440
9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000
1500 N Beauregard St
Ste 300
Alexandria, VA 22311
Phone (703) 845-1500
8081 Innovation Park Dr
Ste 900
Fairfax, VA 22031
Phone (571) 472-4200
8503 Arlington Blvd
Fairfax, VA 22031
Phone (703) 970-2670
3620 Joseph Siewick Dr
Ste 400
Fairfax, VA 22033
Phone (703) 264-7801
3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395
224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894
44055 Riverside Pkwy
Ste 110
Leesburg, VA 20176
Phone (703) 391-4500
Organizations & group practices 7
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.
-
- Neurological Surgery Physician
- Dumfries, VA
- NPI 1538870191
DC, Internal Medicine
-
- Specialist
- Stockbridge, GA
- NPI 1053926154
-
- General Practice Physician
- Baltimore, MD
- NPI 1184046187
-
dba Inova Blood Donor Services
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Neurology
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Inova Alexandria Hospital
- General Acute Care Hospital
- Alexandria, VA
- NPI 1255684460
-
dba Inova Loudoun Hospital
- Psychiatric Hospital Unit
- Leesburg, VA
- NPI 1285786228
-
dba Inova Loudoun Hospital
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
-
dba Inova Fairfax Hospital
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
dba Inova Fair Oaks Hospital
- General Acute Care Hospital
- Fairfax, VA
- NPI 1760513980
-
dba Inova Fairfax Hospital
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490140800000",
"number": "1851602841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8643 STONECUTTER RD",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210452606",
"telephone_number": "843-566-2407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 GALLOWS RD",
"address_2": "INOVA FAIRFAX HOSPITAL",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220423307",
"telephone_number": "843-566-2407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAHSILI FAHADAN",
"first_name": "POUYA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-24",
"last_updated": "2017-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2010013996",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "DC",
"license": "MD042162",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "VA",
"license": "0101261445",
"primary": false
},
{
"code": "2084V0102X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Vascular Neurology",
"state": "VA",
"license": "0101261445",
"primary": true
},
{
"code": "2084A2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurocritical Care",
"state": "VA",
"license": "0101261445",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.