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TINA ABOLGHASEMI
NPI 1245119932
Dentist - General Practice in Chantilly, VA

Active since August 28, 2025PECOS Enrolled
14337 NEWBROOK DR STE 200, CHANTILLY, VA 20151(703) 214-2113 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tina Abolghasemi NPPES

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

TINA ABOLGHASEMI (NPI 1245119932) is an individual general practice provider in Chantilly, Virginia, licensed in Virginia (0401419593) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245119932
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameTINA ABOLGHASEMI
Location Address14337 NEWBROOK DR STE 200Chantilly, VA 20151-4259
Mailing Address700 N Randolph St Apt 1112Arlington, VA 22203-2187 · (202) 669-5299
Phone(703) 214-2113
Sole ProprietorNo
Enumeration DateAugust 28, 2025
NPPES CertifiedAugust 28, 2025
✔ NPI 1245119932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in VA · 0401419593
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
14337 NEWBROOK DR STE 200, Chantilly, VA 20151
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tina Abolghasemi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20151 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. NIKHIL KALRA DDS
Dentist
14337 NEWBROOK DR STE 200
CHANTILLY, VA 20151
Fairfax County (703) 214-2113
DR. MAHDI MOJARRAD DMD
Dentist (General Practice)
14337 NEWBROOK DR STE 200
CHANTILLY, VA 20151
Fairfax County (703) 214-2113
DR. OJASWI SHRESTHA DMD
Dentist (General Practice)
14337 NEWBROOK DR STE 200
CHANTILLY, VA 20151
Fairfax County (703) 214-2113
SAIF KARGOLI DDS
Dentist (Endodontics)
14337 NEWBROOK DR STE 200
CHANTILLY, VA 20151
Fairfax County (703) 214-2113

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 Tina Abolghasemi's NPI number?

The NPI number for Tina Abolghasemi is 1245119932. It was assigned to this individual provider in the NPPES registry on August 28, 2025.

Where is Tina Abolghasemi located?

Tina Abolghasemi practices at 14337 Newbrook Dr Ste 200, Chantilly, VA 20151. The listed phone number is (703) 214-2113.

What is Tina Abolghasemi's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Tina Abolghasemi enrolled in Medicare?

Yes. Tina Abolghasemi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tina Abolghasemi was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.