Active NPI
Mehrdad M Malek, MD
- Orthopaedic Surgery Physician
- Fairfax, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 0101030924
- Practice address
- 8316 Arlington Blvd
Ste 414
Fairfax, VA 22031-5207 - Phone
- (703) 641-5633
- Fax
- (703) 821-5633
- NPI assigned
- Nov 23, 2005
- Last updated
- May 15, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 0101030924 | VA | Primary |
Addresses
Primary practice location
8316 Arlington Blvd
Ste 414
Fairfax, VA 22031-5207
Mailing address
8316 Arlington Blvd Ste 400
Fairfax, VA 22031-5216
Phone (703) 641-5633
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036107945 | Medicaid | IL | |
| 0900046 | Other | VA | UNITED HEALTHCARE OF NORT |
| 34037503 | Other | VA | CAREFIRST MARYLAND |
| 070336 | Other | MD | ANTHEM BLUE SHIELD |
| 504164 | Other | AETNA HMO | |
| 021800 | Other | VA | ANTHEM BLUE SHIELD |
| 0900045 | Other | MD | UNITED HEALTHCARE OF NORT |
| 0900955 | Other | VA | UNITED HEALTHCARE OF MID |
| 0900129 | Other | MD | UNITED HEALTHCARE OF MID |
| 34037504 | Other | MD | CAREFIRST MARYLAND |
| 145854900 | Other | WORKMANS COMP US DEPT | |
| 15690001 | Other | DC | CAREFIRST BLUE SHIELD DC |
| 456840 | Other | IL | MEDICARE GROUP |
| 4053030 | Other | AETNA PPO |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8316 Arlington Blvd
Fairfax, VA 22031-5216
8318 Arlington Blvd
Suite 100a
Fairfax, VA 22031-5200
Phone (703) 641-5633
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Inova Health Care Services | Past | Accepting new patients | |
| Physician Services Corporation of Southern Illinois Inc. | Past | Accepting new patients |
Organizations & group practices 4
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.
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-
dba SSM Health Medical Group
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- NPI 1831101807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368576000000",
"number": "1992788806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8316 ARLINGTON BLVD STE 400",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220315216",
"telephone_number": "703-641-5633",
"fax_number": "703-289-1273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8316 ARLINGTON BLVD",
"address_2": "STE 414",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220315207",
"telephone_number": "703-641-5633",
"fax_number": "703-821-5633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALEK",
"first_name": "MEHRDAD",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-23",
"last_updated": "2013-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "VA",
"license": "0101030924",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036107945",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE OF NORT",
"identifier": "0900046",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MARYLAND",
"identifier": "34037503",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE SHIELD",
"identifier": "070336",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "504164",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE SHIELD",
"identifier": "021800",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE OF NORT",
"identifier": "0900045",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE OF MID",
"identifier": "0900955",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE OF MID",
"identifier": "0900129",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST MARYLAND",
"identifier": "34037504",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKMANS COMP US DEPT",
"identifier": "145854900",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUE SHIELD DC",
"identifier": "15690001",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "456840",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4053030",
"state": null
}
],
"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 May 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.