DR. PEYAM MOJALLAL OD
NPI 1154378511
Optometrist - Low Vision Rehabilitation in Ashburn, VA
About Dr. Peyam Mojallal Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PEYAM MOJALLAL OD (NPI 1154378511) is an individual low vision rehabilitation provider in Ashburn, Virginia, licensed in Virginia (0618001051) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of State University Of New York - State College Optometry (2000).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 5
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Peyam Mojallal Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Peyam Mojallal reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ashburn, VA 20147
- Reassigned Medicare billing, Virginia enrollment
- 2 clinicians in this Medicare group
Ashburn, VA 20147
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
Rockville, MD 20852
- Reassigned Medicare billing, District of Columbia enrollment
- 2 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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20147 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ASHBURN, VA 20147
ASHBURN, VA 20147
ASHBURN, VA 20147
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 Peyam Mojallal's NPI number?
The NPI number for Peyam Mojallal is 1154378511. It was assigned to this individual provider in the NPPES registry on May 30, 2006.
Where is Peyam Mojallal located?
Peyam Mojallal practices at 20600 Gordon Park Sq Suite 150, Ashburn, VA 20147. The listed phone number is (703) 723-3433.
What is Peyam Mojallal's specialty?
The primary specialty registered for this NPI is Optometrist, specializing in Low Vision Rehabilitation, with taxonomy code 152WL0500X.
Is Peyam Mojallal enrolled in Medicare?
Yes. Peyam Mojallal is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Peyam Mojallal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Peyam Mojallal reassigns Medicare benefits to 3 organizations: Acuity Vision Care PC (Ashburn, VA), Peyam Mojallal Od And Associates (Ashburn, VA) and Prevention Of Blindness Society Of Metropolitan Washington Inc (Rockville, MD). 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 Peyam Mojallal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Peyam Mojallal accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 9 other insurers list Peyam Mojallal as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Peyam Mojallal was last updated on December 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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. Peyam Mojallal, OD · NPI 1154378511
Low Vision Rehabilitation provider in Ashburn, Virginia. Individual provider, active in the CMS NPPES registry since May 30, 2006.
## Identity
- **NPI:** 1154378511 (Entity type: Individual)
- **Enumerated:** May 30, 2006
- **Primary specialty:** Optometrist - Low Vision Rehabilitation · taxonomy 152WL0500X
- **State license:** 0618001051 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 20600 GORDON PARK SQ, SUITE 150, Ashburn, VA 20147-3145
- **Phone:** (703) 723-3433 · **Fax:** (703) 723-1920
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Acuity Vision Care PC (NPI 1871634675, Ashburn, VA); Peyam Mojallal Od And Associates (NPI 1679615009, Ashburn, VA); Prevention Of Blindness Society Of Metropolitan Washington Inc (NPI 1184500621, Rockville, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of New York - State College Optometry, class of 2000
## Record status
- **NPPES last updated:** December 6, 2007
- **Other identifiers:** Medicare UPIN U89477 (VA); Medicaid 9236805 (VA); Medicare PIN 00W337P01 (VA); and 2 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1154378511) · Data from the CMS NPPES public registry.