Organization Active NPI

Ams Medical Care, LLC

  • Internal Medicine Physician
  • Great Falls, VA
National Provider Identifier
1982277257
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
AMS MEDICAL CARE, LLC
Practice address
731 Walker Rd Unit 1E
Great Falls, VA 22066-2834
Phone
(703) 862-4467
NPI assigned
Jul 23, 2021
Last updated
Jul 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Authorized official

Name
Dr. Ali Mirebrahimi-Tafreshi, MDNPI 1295860732
Title
Owner/Partner/Authorized Official
Phone
(443) 739-2315

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

731 Walker Rd Unit 1E
Great Falls, VA 22066-2834

Mailing address

731 Walker Rd Unit 1E
Great Falls, VA 22066-2834
Phone (443) 739-2315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211228002084 DC Part B Supplier - Clinic/Group Practice 3870984982 Receives reassigned benefits from 4 practitioners
Practice locations: Great Falls, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2231121Ams Medical Care LLC731 Walker Rd Unit E1, Great Falls, VA 22066Certificate of waiverJul 29, 2027

National Provider Directory

National Provider Directory

Locations

721 Walker Rd
Unit E
Great Falls, VA 22066

731 Walker Rd
Ste E
Great Falls, VA 22066

731 Walker Rd
Unit 1E
Great Falls, VA 22066
Phone (703) 862-4467

731 Walker Rd
Unit E1
Great Falls, VA 22066
Phone (703) 862-4467

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1982277257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 WALKER RD UNIT 1E",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220662834",
            "telephone_number": "443-739-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 WALKER RD UNIT 1E",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220662834",
            "telephone_number": "703-862-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMS MEDICAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-23",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "MIREBRAHIMI-TAFRESHI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER/PARTNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "443-739-2315",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.

Verify at the official NPI Registry.