Individual provider Active NPI

Shahriar Haji-Momenian

  • Diagnostic Radiology Physician
  • Springfield, VA
National Provider Identifier
1861610065
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
LP00209 Issued in RI
Practice address
8001 Forbes PL
Springfield, VA 22151-2208
Phone
(703) 824-3200
NPI assigned
Apr 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X LP00209 RI Primary

Addresses

Primary practice location

8001 Forbes PL
Springfield, VA 22151-2208

Mailing address

PO Box 658
Baltimore, MD 21203-0658
Phone (703) 824-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20100724000147 DC Practitioner - Diagnostic Radiology 0749312874 Reassigns benefits to 4 organizations
I20240917003351 MD Practitioner - Diagnostic Radiology 0749312874 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Medical Group - Southern Maryland LLCGroup PAC ID 1355667056, 241 clinicians
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
Physician Imaging of Washington Hospital Center LLCGroup PAC ID 6204910292, 102 clinicians

Practice addresses (Care Compare)

10 Saint Patricks Dr
Waldorf, MD 20603-4527
Phone (301) 373-7900

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

2118 Greenspring Dr
Suite 100
Timonium, MD 21093-3112
Phone (443) 470-1070

24035 Three Notch Rd
Hollywood, MD 20636-4871

3007 Tilden St NE
Suite 5N
Washington, DC 20008-3030

3007 Tilden St NW
Washington, DC 20008-3030

3305 N Leisure World Blvd
Silver Spring, MD 20906-1367
Phone (301) 598-1590

3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone (703) 558-1400

Hospital & facility affiliations

  • Medstar Georgetown University Hospital Hospital, Washington, DC, CCN 090004
  • Medstar Montgomery Medical Center Hospital, Olney, MD, CCN 210018
  • Calverthealth Medical Center Hospital, Prince Frederick, MD, CCN 210039
  • Medstar Southern Maryland Hospital Center Hospital, Clinton, MD, CCN 210062
  • Medstar Washington Hospital Center Hospital, Washington, DC, CCN 090011

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP00209RIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group - Southern Maryland LLC CurrentSince Nov 1, 2024 Accepting new patients
Medical Faculty Associates, Inc CurrentSince Apr 5, 2013 Accepting new patients
Physician Imaging of Washington Hospital Center LLC Diagnostic Radiology Current Accepting new patients
Medstar Medical Group - Southern Maryland LLC CurrentSince Nov 1, 2024 Accepting new patients
Medstar Medical Group II LLC CurrentSince Sep 15, 2024 Accepting new patients
Medstar Medical Group II LLC CurrentSince Sep 15, 2024 Accepting new patients
Physician Imaging of Washington Hospital Center, LLC Diagnostic Radiology CurrentSince Nov 1, 2024 Accepting new patients
Medstar Medical Group - Southern Maryland LLC Current Accepting new patients
Physician Imaging of Washington Hospital Center LLC Diagnostic Radiology CurrentSince Nov 1, 2024 Accepting new patients
Computed Tomography Associates, PC Diagnostic Radiology Past Accepting new patients
Association of Alexandria Radiologists, P.C. Diagnostic Radiology PastSince Aug 1, 2005 Accepting new patients

Locations

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

2021 K St NW
Ste 600
Washington, DC 20006
Phone (202) 741-3387

3007 Tilden St NW
Ste 5N
Washington, DC 20008

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

12 Medstar Blvd
Bel Air, MD 21015
Phone (410) 877-8087

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

950 E Swan Creek Rd
Ft Washington, MD 20744
Phone (301) 292-0236

1406 Crain Hwy S
Glen Burnie, MD 21061
Phone (410) 768-6440

24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588

12158 Central Ave
Ste 100
Mitchellville, MD 20721
Phone (301) 430-2750

3305 N Leisure World Blvd
Silver Spring, MD 20906
Phone (301) 598-1011

2118 Greenspring Dr
Ste 100
Timonium, MD 21093
Phone (443) 470-1070

10 Saint Patricks Dr
Waldorf, MD 20603
Phone (301) 705-7870

4660 Kenmore Ave
Ste 525
Alexandria, VA 22304
Phone (703) 494-3309

4660 Kenmore Ave
Ste 608
Alexandria, VA 22304
Phone (703) 379-0700

6355 Walker Ln
Franconia, VA 22310
Phone (703) 664-7453

Interoperability endpoints

  • Direct secure messaging: shahriar.hajimomenianmd.p2@direct.msmg.nextgenshare.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306368000000",
    "number": "1861610065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 658",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212030658",
            "telephone_number": "703-824-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 FORBES PL",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221512208",
            "telephone_number": "703-824-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAJI-MOMENIAN",
        "first_name": "SHAHRIAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2011-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "RI",
            "license": "LP00209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

Verify at the official NPI Registry.