Individual provider Active NPI

Pouya Tahsili Fahadan, M.D.

  • Vascular Neurology Physician
  • Falls Church, VA
National Provider Identifier
1851602841
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
0101261445 Issued in VA
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

Updated by the provider on Mar 22, 2017

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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, GA4 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

Enrollment IDStateProvider typePAC IDDetails
I20170831002440 DC Practitioner - NeurologyPractitioner - Psychiatry 1254560758 Reassigns benefits to 2 organizations
I20171023001357 VA Practitioner - NeurologyPractitioner - Psychiatry 1254560758 Reassigns benefits to 1 organization
I20220105001459 MD Practitioner - Critical Care (Intensivists) 1254560758 Reassigns benefits to 1 organization
I20220406001108 GA Practitioner - Critical Care (Intensivists) 1254560758 Reassigns benefits to 1 organization

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 ServicesGroup PAC ID 2466351093, shared by 24 NPIs, 1,821 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
0101261445VAMDNeurocritical Care Physician
MD042162DCMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services Internal Medicine CurrentSince Jan 7, 2023 Accepting new patients
Medstar Medical Group II LLC Internal Medicine CurrentSince Dec 28, 2021 Accepting new patients
Idoc Virtual Neuro Critical Care LLC CurrentSince Apr 1, 2022 Accepting new patients
Inova Health Care Services CurrentSince Aug 1, 2017 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 28, 2021 Accepting new patients
Inova Health Care Services Internal Medicine CurrentSince Aug 1, 2017 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.