DR. MITRA HAFEZI MD
NPI 1043877111
General Practice in Warrenton, VA

Active since May 23, 2019PECOS EnrolledAccepts Medicare Assignment
436 HOSPITAL DR, WARRENTON, VA 20186(540) 216-7776 Get Directions Write a Review

NPPES record last updated: October 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 12, 2022, Sep 9, 2022, Jan 17, 2021 and 3 more (6 updates tracked since 2019).

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

NPI1043877111
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. MITRA HAFEZICredential: MD
Location Address436 HOSPITAL DRWarrenton, VA 20186-3026
Mailing Address436 Hospital DrWarrenton, VA 20186-3026 · (540) 216-7776
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateMay 23, 2019
Last NPPES UpdateOctober 12, 20226 updates tracked since enumeration
NPPES CertifiedOctober 12, 2022
NPI 1043877111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in VA · 0101266035
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedAcupuncturistTaxonomy 171100000X
436 HOSPITAL DR, Warrenton, VA 20186

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID4789912817
PECOS Enrollment IDI20221017000351
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Optometrist
436 HOSPITAL DR
WARRENTON, VA 20186
Social Worker (Clinical)
436 HOSPITAL DR
WARRENTON, VA 20186
General Practice
436 HOSPITAL DR
WARRENTON, VA 20186
Counselor (Professional)
436 HOSPITAL DR
WARRENTON, VA 20186

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.

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 3 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.