Organization Active NPI

Baseline Medical Group, P C

  • Emergency Medicine Physician
  • Fairfax, VA
National Provider Identifier
1992664932
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
BASELINE MEDICAL GROUP, P C
Practice address
3251 Blenheim Blvd Ste 405
Fairfax, VA 22030-1504
Phone
(571) 461-1703
NPI assigned
Jan 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Authorized official

Name
Alex Mohseni, MD
Title
President
Phone
(571) 461-1703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

3251 Blenheim Blvd Ste 405
Fairfax, VA 22030-1504

Mailing address

3251 Blenheim Blvd Ste 405
Fairfax, VA 22030-1504

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
49D2340515Baseline Medical Group PC3251 Blenheim Blvd Suite 405, Fairfax, VA 22030Certificate of waiverMar 17, 2028

National Provider Directory

National Provider Directory

Locations

3251 Blenheim Blvd
Ste 405
Fairfax, VA 22030
Phone (571) 461-1703

NPI Registry JSON

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

{
    "created_epoch": "1768521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1992664932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 BLENHEIM BLVD STE 405",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220301504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3251 BLENHEIM BLVD STE 405",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220301504",
            "telephone_number": "571-461-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASELINE MEDICAL GROUP, P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-16",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "MOHSENI",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "571-461-1703",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.