Individual provider Active NPI

Samira Hannah Rezaian, D.O

  • Geriatric Medicine (Internal Medicine) Physician
  • Fairfax, VA
National Provider Identifier
1942740352
Registry record updated Nov 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
0102207204 Issued in VA
Practice address
8081 Innovation Park Dr Ste 200
Fairfax, VA 22031-4867
Phone
(571) 472-7000
Fax
(571) 472-7001
NPI assigned
Mar 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS17616 FL
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 0102207204 VA Primary

Addresses

Primary practice location

8081 Innovation Park Dr Ste 200
Fairfax, VA 22031-4867

Mailing address

8081 Innovation Park Dr Ste 500
Fairfax, VA 22031-4867
Phone (571) 472-7000

Other practice location 1

36 W Whitlock Ave
Winchester, VA 22601-4587
Phone (540) 313-6163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 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
I20230124001019 VA Practitioner - Geriatric MedicinePractitioner - Internal Medicine 8820360316 Reassigns benefits to 1 organization
I20230126001807 DC Practitioner - Geriatric MedicinePractitioner - Internal Medicine 8820360316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
Edward Via Col of Osteo Medicine-Virginia Campus, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

1005 N Glebe Rd
Arlington, VA 22201-5758

19500 Sandridge Way
Leesburg, VA 20176-3689
Phone (703) 840-7300

2600 Compass Rd
Glenview, IL 60026-8001

3300 Gallows Rd
Falls Church, VA 22042-3307

3580 Joseph Siewick Dr
Fairfax, VA 22033-1717

3580 Joseph Siewick Dr
Fairfax, VA 22033-1764

44045 Rivderside Pkwy
Leesburg, VA 20176-5101

6862 Elm St
MC Lean, VA 22101-3862
Phone (703) 288-3750

8100 Innovation Dr Park
Fairfax, VA 22031-4872
Phone (703) 970-6464

Hospital & facility affiliations

  • Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101
  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063
  • Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122
  • Inova Loudoun Hospital Hospital, Leesburg, VA, CCN 490043

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
OS17616FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Nov 28, 2022 Accepting new patients
Inova Health Care Services Internal Medicine CurrentSince Nov 28, 2022 Accepting new patients

Locations

8081 Innovation Park Dr
Ste 500
Fairfax, VA 22031
Phone (571) 472-7040

3580 Joseph Siewick Dr
Ste 306
Fairfax, VA 22033
Phone (703) 391-4520

8081 Innovation Park Dr
Ste 200
Fairfax, VA 22031
Phone (571) 472-7000

3300 Gallows Rd
Fl 1
Falls Church, VA 22042
Phone (703) 776-4005

19500 Sandridge Way
Ste 200
Leesburg, VA 20176
Phone (703) 840-7300

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

Interoperability endpoints

  • Direct secure messaging: srezaian1111784@soc.inova.org
  • Direct secure messaging: srezaian697868@direct.hopkinsmedicine.org

Organizations & group practices 3

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 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": "1488499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669334400000",
    "number": "1942740352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8081 INNOVATION PARK DR STE 500",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314867",
            "telephone_number": "571-472-7000",
            "fax_number": "571-472-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8081 INNOVATION PARK DR STE 200",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314867",
            "telephone_number": "571-472-7000",
            "fax_number": "571-472-7001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36 W Whitlock Ave",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "VA",
            "postal_code": "226014587",
            "country_code": "US",
            "telephone_number": "540-313-6163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REZAIAN",
        "first_name": "SAMIRA",
        "middle_name": "HANNAH",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-03",
        "last_updated": "2022-11-25",
        "certification_date": "2022-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS17616",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "VA",
            "license": "0102207204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.