Active NPI
Kambiz Tajkarimi, MD
- Urology Physician
- Leesburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 0101257572
- Practice address
- 44055 Riverside Pkwy Ste 208
Leesburg, VA 20176-5176 - Phone
- (703) 687-3601
- Fax
- (703) 687-3602
- NPI assigned
- Mar 21, 2007
- Last updated
- Jun 16, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 0101257572 | VA | Primary |
Addresses
Primary practice location
44055 Riverside Pkwy Ste 208
Leesburg, VA 20176-5176
Mailing address
44055 Riverside Pkwy Ste 208
Leesburg, VA 20176-5176
Phone (703) 687-3601
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1021322530002 | Medicaid | PA | |
| 867633 | Other | PA | MEDICARE GROUP # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3700 Joseph Siewick Dr
Fairfax, VA 22033-1738
Phone (703) 687-3601
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current | Accepting new patients | |
| Urology Health Consulting PC | Urology | Current | Accepting new patients |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Franklin County Foot & Ankle Center LLC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
3700 Joseph Siewick Dr
Ste 206
Fairfax, VA 22033
Phone (703) 393-0700
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 208
Leesburg, VA 20176
Phone (703) 729-7652
44055 Riverside Pkwy
Ste 226
Leesburg, VA 20176
Phone (202) 321-8162
8180 Greensboro Dr
Ste 300
McLean, VA 22102
Phone (703) 810-5217
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GCJABD/Endpoint/GCJABD
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.
-
dba Inova Urgent Care Center
- Urgent Care Clinic/Center
- Vienna, VA
- NPI 1275886418
-
dba Inova Juniper Program
- Multi-Specialty Clinic/Center
- Fairfax, VA
- NPI 1669511051
-
dba Inova Blood Donor Services
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
- Foot & Ankle Surgery Podiatrist
- Waynesboro, PA
- NPI 1306807961
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Reston Hospital Center
- General Acute Care Hospital
- Reston, VA
- NPI 1053363853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1942326251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44055 RIVERSIDE PKWY STE 208",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201765176",
"telephone_number": "703-687-3601",
"fax_number": "703-687-3602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44055 RIVERSIDE PKWY STE 208",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201765176",
"telephone_number": "703-687-3601",
"fax_number": "703-687-3602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAJKARIMI",
"first_name": "KAMBIZ",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "VA",
"license": "0101257572",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1021322530002",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP #",
"identifier": "867633",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.