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ELAHEH BANI AHMAD
NPI 1265059760
Nurse Practitioner in Moseley, VA

Active since June 30, 2020PECOS EnrolledAccepts Medicare Assignment
8425 HAMPTON FARMS DR, MOSELEY, VA 23120(180) 493-3287 Get Directions Write a Review

NPPES record last updated: June 30, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Elaheh Bani Ahmad NPPES

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

ELAHEH BANI AHMAD (NPI 1265059760) is an individual nurse practitioner in Moseley, Virginia, licensed in Virginia (0024179498) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1265059760
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameELAHEH BANI AHMAD
Location Address8425 HAMPTON FARMS DRMoseley, VA 23120-1713
Mailing Address8425 Hampton Farms DrMoseley, VA 23120-1713 · (180) 493-3287
Phone(180) 493-3287
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJune 30, 2020
NPPES CertifiedJune 30, 2020
✔ NPI 1265059760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in VA · 0024179498
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
8425 HAMPTON FARMS DR, Moseley, VA 23120
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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

Elaheh Bani Ahmad 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 ID5597142505
PECOS Enrollment IDI20220512002652
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

2

Medicare enrollment records show Elaheh Bani Ahmad reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Colonial Kidneycare Specialists, PC
19 mi
Nephrology
3601 BOULEVARD, SUITE C
Colonial Heights, VA 23834
  • Reassigned Medicare billing, Virginia enrollment
  • 8 clinicians in this Medicare group
NPI 1528451671 (804) 504-0068
Signify Health, LLC
1,123 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Virginia enrollment
  • 501 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23120 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
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.

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 Elaheh Bani Ahmad's NPI number?

The NPI number for Elaheh Bani Ahmad is 1265059760. It was assigned to this individual provider in the NPPES registry on June 30, 2020.

Where is Elaheh Bani Ahmad located?

Elaheh Bani Ahmad practices at 8425 Hampton Farms Dr, Moseley, VA 23120. The listed phone number is (180) 493-3287.

What is Elaheh Bani Ahmad's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Elaheh Bani Ahmad enrolled in Medicare?

Yes. Elaheh Bani Ahmad 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 Elaheh Bani Ahmad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elaheh Bani Ahmad reassigns Medicare benefits to 2 organizations: Colonial Kidneycare Specialists, PC (Colonial Heights, VA) and Signify Health, LLC (Dallas, TX). 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 Elaheh Bani Ahmad'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 Elaheh Bani Ahmad was last updated on June 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.