DR. MITRA HAFEZI MD
NPI 1043877111
General Practice in Warrenton, VA
About Dr. Mitra Hafezi Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MITRA HAFEZI MD (NPI 1043877111) is an individual general practice provider in Warrenton, Virginia, licensed in Virginia (0101266035) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (1991).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Mitra Hafezi Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Mitra Hafezi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Warrenton, VA 20186
- Reassigned Medicare billing, Virginia enrollment
Arlington, VA 22203
- Reassigned Medicare billing, District of Columbia enrollment
- 1,534 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mitra Hafezi's NPI number?
The NPI number for Mitra Hafezi is 1043877111. It was assigned to this individual provider in the NPPES registry on May 23, 2019.
Where is Mitra Hafezi located?
Mitra Hafezi practices at 436 Hospital Dr, Warrenton, VA 20186. The listed phone number is (540) 216-7776.
What is Mitra Hafezi's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Mitra Hafezi enrolled in Medicare?
Yes. Mitra Hafezi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mitra Hafezi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mitra Hafezi reassigns Medicare benefits to 2 organizations: Cardinal Healthcare (Warrenton, VA) and Privia Medical Group, LLC (Arlington, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mitra Hafezi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mitra Hafezi was last updated on October 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Mitra Hafezi, MD · NPI 1043877111
General Practice physician in Warrenton, Virginia. Individual provider, active in the CMS NPPES registry since May 23, 2019.
## Identity
- **NPI:** 1043877111 (Entity type: Individual)
- **Enumerated:** May 23, 2019
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 0101266035 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 436 HOSPITAL DR, Warrenton, VA 20186-3026
- **Phone:** (540) 216-7776
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Cardinal Healthcare (NPI 1457072100, Warrenton, VA); Privia Medical Group, LLC (NPI 1013042480, Arlington, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1991
## Record status
- **NPPES last updated:** October 12, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1043877111) · Data from the CMS NPPES public registry.