Individual provider Active NPI

Maryam Nazemzadeh, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Ashburn, VA
National Provider Identifier
1972738508
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
License
101258870 Issued in VA
Practice address
21785 Filigree CT Ste 202
Ashburn, VA 20147-6214
Phone
(703) 723-8988
NPI assigned
May 27, 2009
Last updated
Oct 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0200X 101258870 VA Primary

Addresses

Primary practice location

21785 Filigree CT Ste 202
Ashburn, VA 20147-6214

Mailing address

21785 Filigree CT Ste 202
Ashburn, VA 20147-6214
Phone (703) 723-8988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101258870VAMDOphthalmic Plastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Drnaz Call LLC Single Specialty CurrentSince Apr 23, 2023 Accepting new patients

Locations

21785 Filigree Ct
Ste 202
Ashburn, VA 20147
Phone (703) 232-1717

8100 Boone Blvd
Ste 110
Vienna, VA 22182
Phone (202) 277-3689

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1972738508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21785 FILIGREE CT STE 202",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476214",
            "telephone_number": "703-723-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21785 FILIGREE CT STE 202",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201476214",
            "telephone_number": "703-723-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZEMZADEH",
        "first_name": "MARYAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-27",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "VA",
            "license": "101258870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.