Active NPI
Maryam Nazemzadeh, M.D.
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Ashburn, VA
National Provider Identifier
1972738508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery Physician
- License
- 101258870
- Practice address
- 21785 Filigree CT Ste 202
Ashburn, VA 20147-6214 - Phone
- (703) 723-8988
- NPI assigned
- May 27, 2009
- Last updated
- Oct 5, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Ophthalmic Plastic and Reconstructive Surgery Physician | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 101258870 | VA | MD | Ophthalmic Plastic and Reconstructive Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drnaz Call LLC | Single Specialty | Current | 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.
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Vienna, VA
- NPI 1528754074
Single Specialty
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.