Individual provider Active NPI

Jon Shirazi, NP

  • Family Nurse Practitioner
  • Rockville, MD
National Provider Identifier
1982447173
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R251459 Issued in MD
Practice address
1201 Seven Locks Rd Ste 111
Rockville, MD 20854-2957
Phone
(301) 762-5020
NPI assigned
Jun 14, 2024
Last updated
Jun 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R251459 MD Primary

Addresses

Primary practice location

1201 Seven Locks Rd Ste 111
Rockville, MD 20854-2957

Mailing address

944 Farm Haven Dr
Rockville, MD 20852-4213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240904004818 DC Practitioner - Nurse Practitioner 5496295479 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Care Center LLCGroup PAC ID 3274801139, 286 clinicians

Practice addresses (Care Compare)

1201 Seven Locks Rd
Suite 111
Rockville, MD 20854-2957
Phone (301) 762-5020

4910 Massachusetts Ave NW
Suite 114 Grady DC Office
Washington, DC 20016-4384
Phone (202) 686-0813

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Jul 1, 2024 Accepting new patients
Privia Care Center LLC CurrentSince Sep 19, 2024 Accepting new patients
Privia Care Center LLC CurrentSince Sep 19, 2024 Accepting new patients
Privia Medical Group, LLC CurrentSince Jul 1, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Medical Associates of Central Virginia, Inc. Past Accepting new patients

Locations

4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

18121 Georgia Ave
Ste 103
Olney, MD 20832
Phone (301) 762-5020

1201 Seven Locks Rd
Ste 111
Rockville, MD 20854
Phone (301) 762-5020

6100 Executive Blvd
Ste 300
Rockville, MD 20852
Phone (301) 530-2800

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • Direct secure messaging: jon.shirazi.1@8042.direct.athenahealth.com

Organizations & group practices 6

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": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1982447173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 FARM HAVEN DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 SEVEN LOCKS RD STE 111",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208542957",
            "telephone_number": "301-762-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRAZI",
        "first_name": "JON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R251459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.