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DR. GUITA GHADIRI M.D.
NPI 1053304311
Internal Medicine - Nephrology in North Chesterfield, VA

Active since August 23, 2005PECOS Enrolled
1901 HUGUENOT RD, SUITE 309, NORTH CHESTERFIELD, VA 23235(804) 955-4864 Get Directions Write a Review

NPPES record last updated: June 7, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 7, 2021, Dec 8, 2015 (2 updates tracked since 2015).

About Dr. Guita Ghadiri M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GUITA GHADIRI M.D. (NPI 1053304311) is an individual nephrology provider in North Chesterfield, Virginia, licensed in Virginia (0101256855) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with John Randolph Medical Center, and maintains a secondary practice location in Richmond.

NPPES Registry Identity

NPI1053304311
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. GUITA GHADIRICredential: M.D.
Location Address1901 HUGUENOT RD, SUITE 309North Chesterfield, VA 23235-4311
Mailing AddressPo Box 693Midlothian, VA 23113-0693
Phone(804) 955-4864
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateAugust 23, 2005
Last NPPES UpdateJune 7, 20212 updates tracked since enumeration
NPPES CertifiedJune 7, 2021
✔ NPI 1053304311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in VA · 0101256855✔ Licensed in PA · MD426805
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD426805 (PA)
1901 HUGUENOT RD, North Chesterfield, VA 23235
Open in Google Maps ↗

Secondary Practice Location 1

Location 12201 E Main St Ste 201Richmond, VA 23223-7071 · Phone (804) 643-3061 · Fax (804) 643-3817

Other Identifiers 10

Other20082336PA · Amerihealth Mercy-wmg
Other3625PA · Geisinger Health Plan
Medicaid1013229970001PA
Other1545720PA · Gateway-wmg
Other947471PA · Carefirst Md Bcbs
Other50082793PA · Capital Blue Cross-wmg
Medicaid101322997PA
Other226982PA · Johns Hopkins
Other1744727PA · Highmark Blue Shield
Other259802PA · Unison-wmg

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Guita Ghadiri M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305873852
PECOS Enrollment IDI20141009000990
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Guita Ghadiri reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mid-Atlantic Kidney Center
9.6 mi
Nephrology
203 E CARY ST STE 201
Richmond, VA 23219
  • Reassigned Medicare billing, Virginia enrollment
  • 10 clinicians in this Medicare group
NPI 1700855228 (804) 643-3061
Southeastern Intensivist Services PC
719 mi
Hospitalist
2100 N 7TH ST
West Memphis, AR 72301
  • Reassigned Medicare billing, Virginia enrollment
  • 528 clinicians in this Medicare group
NPI 1912942665 (870) 733-3020
Vibra Physicians LLC
1,481 mi
Hospitalist
4401 UNION ST
Johnstown, CO 80534
  • Reassigned Medicare billing, Virginia enrollment
  • 88 clinicians in this Medicare group
NPI 1659705424 (970) 278-9340

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
451 services175 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
122 services45 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
82 services30 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
78 services75 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
66 services48 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
61 services52 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

John Randolph Medical Center

Acute Care Hospitals · Hopewell, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490020
Location411 West Randolph RoadHopewell, VA 23860 · Hopewell City County
Emergency services

Bon Secours St Marys Hospital

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490059
Location5801 Bremo RdRichmond, VA 23226 · Richmond City County
Emergency services Birthing friendly

Bon Secours Southside Medical Center

Acute Care Hospitals · Petersburg, VA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number490067
Location200 Medical Park BoulevardPetersburg, VA 23805 · Petersburg City County
Emergency services Birthing friendly

Bon Secours Richmond Community Hospital

Acute Care Hospitals · Richmond, VA
OwnershipVoluntary non-profit - Private
CMS Certification Number490094
Location1500 N. 28th StreetRichmond, VA 23223 · Richmond City County
Emergency services

Cjw Medical Center

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number490112
Location7101 Jahnke RoadRichmond, VA 23235 · Chesterfield County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23235 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%74 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers25 claims25 services$16.92 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers41 claims41 services$84.91 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SCOTT W. MATES, LLC
Social Worker (Clinical)
1901 HUGUENOT RD, SUITE 310
NORTH CHESTERFIELD, VA 23235
Chesterfield County (804) 464-7202
TANGELA HARDY NP
Nurse Practitioner
1901 HUGUENOT RD, SUITE 309
NORTH CHESTERFIELD, VA 23235
Chesterfield County (804) 955-4814
MS. KATRINA H MANSINON LCSW MSW
Social Worker (Clinical)
1901 HUGUENOT RD, SUITE 201
RICHMOND, VA 23235
Chesterfield County (804) 254-2297
ANTACIA OLIVER MSW
Social Worker
1901 HUGUENOT RD
NORTH CHESTERFIELD, VA 23235
Chesterfield County (804) 889-2384
ALEXIA TAYLOR
Counselor (Mental Health)
1901 HUGUENOT RD
NORTH CHESTERFIELD, VA 23235
Chesterfield County (804) 912-6198
MR. MICHAEL P FLYNN LCSW
Social Worker (Clinical)
1901 HUGUENOT RD, STE 201
RICHMOND, VA 23235
Chesterfield County (804) 257-0912
DARE TO CHANGE
Exclusive Provider Organization
1901 HUGUENOT RD, SUITE 101
NORTH CHESTERFIELD, VA 23235
Chesterfield County (804) 397-1070
TIMOTHY LEE M.D.
Family Medicine
1901 HUGUENOT RD, SUITE 309
NORTH CHESTERFIELD, VA 23235
Chesterfield County (804) 740-6174

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 Guita Ghadiri's NPI number?

The NPI number for Guita Ghadiri is 1053304311. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Where is Guita Ghadiri located?

Guita Ghadiri practices at 1901 Huguenot Rd Suite 309, North Chesterfield, VA 23235. The listed phone number is (804) 955-4864.

What is Guita Ghadiri's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Guita Ghadiri enrolled in Medicare?

Yes. Guita Ghadiri is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Guita Ghadiri's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Guita Ghadiri reassigns Medicare benefits to 3 organizations: Mid-Atlantic Kidney Center (Richmond, VA), Southeastern Intensivist Services PC (West Memphis, AR) and Vibra Physicians LLC (Johnstown, CO). 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 Guita Ghadiri's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Guita Ghadiri affiliated with any hospitals?

According to CMS data, Guita Ghadiri is affiliated with John Randolph Medical Center, Bon Secours St Marys Hospital, Bon Secours Southside Medical Center, Bon Secours Richmond Community Hospital and Cjw Medical Center.

When was this NPI record last updated?

The NPPES record for Guita Ghadiri was last updated on June 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.