Active NPI
Mohamad Haroon Nazari, PA
- Medical Physician Assistant
- Woodbridge, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 2300 Opitz Blvd
Woodbridge, VA 22191-3311 - Phone
- (517) 775-8982
- NPI assigned
- May 15, 2022
- Last updated
- May 15, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | NU | Primary |
Addresses
Primary practice location
2300 Opitz Blvd
Woodbridge, VA 22191-3311
Mailing address
12623 Jedburg LN
Woodbridge, VA 22192-5020
Phone (517) 775-8982
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
14906 Richmond Hwy
Woodbridge, VA 22191-4016
Phone (609) 335-6595
2300 Opitz Blvd
Woodbridge, VA 22191-3311
Phone (571) 530-5951
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M Medical Group, Inc. | Current | Accepting new patients | |
| M Medical Group, Inc. | Current | Accepting new patients | |
| M Medical Group, Inc. | Current | Accepting new patients |
Locations
22 S Athol Ave
Baltimore, MD 21229
Phone (410) 566-5015
9106 Pine View Ln
Clinton, MD 20735
Phone (301) 856-2930
1 Price Dr
Elkton, MD 21921
Phone (410) 398-6474
1051 Brightseat Rd
Landover, MD 20785
Phone (240) 487-4400
1004 Independence Blvd
Virginia Beach, VA 23455
Phone (757) 464-4058
14906 Richmond Hwy
Woodbridge, VA 22191
Phone (609) 335-6595
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.
-
- Internal Medicine Physician
- Springfield, VA
- NPI 1457943987
-
- Critical Care Medicine (Internal Medicine) Physician
- Clinton, MD
- NPI 1780056168
DC, VA
-
dba NextCare Urgent Care
- Urgent Care Clinic/Center
- Fredericksburg, VA
- NPI 1487838652
-
- Internal Medicine Physician
- Rising Sun, MD
- NPI 1164238333
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1447076203
-
- Internal Medicine Physician
- Annapolis, MD
- NPI 1790591956
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sentara Northern Virginia Medical Center
- General Acute Care Hospital
- Woodbridge, VA
- NPI 1548366404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652572800000",
"number": "1881331510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12623 JEDBURG LN",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221925020",
"telephone_number": "517-775-8982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 OPITZ BLVD",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221913311",
"telephone_number": "517-775-8982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAZARI",
"first_name": "MOHAMAD",
"middle_name": "HAROON",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-15",
"last_updated": "2022-05-15",
"certification_date": "2022-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2022; 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.