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CARDIAC CARE CENTER PC
NPI 1295804060
Internal Medicine - Cardiovascular Disease in Woodbridge, VA

Active since November 07, 2006
2200 OPITZ BLVD, S 310, WOODBRIDGE, VA 22191(703) 494-5995(703) 491-9153 Get Directions Write a Review

NPPES record last updated: May 22, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Cardiac Care Center Pc NPPES

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

CARDIAC CARE CENTER PC (NPI 1295804060) is a healthcare organization registered as a cardiovascular disease in Woodbridge, Virginia and active in the NPI registry since November 2006. The organization lists Khosro Shareghi, Owner, as its authorized official.

NPPES Registry Identity

NPI1295804060
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameCARDIAC CARE CENTER PC
Location Address2200 OPITZ BLVD, S 310Woodbridge, VA 22191
Mailing Address2200 Opitz Blvd, S 310Woodbridge, VA 22191 · (703) 494-5995 · Fax (703) 491-9153
Phone(703) 494-5995
Fax(703) 491-9153
Organization SubpartNo
Authorized OfficialKhosro ShareghiOwner · (703) 494-5995
Enumeration DateNovember 7, 2006
Last NPPES UpdateMay 22, 2013
✔ NPI 1295804060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
2200 OPITZ BLVD, Woodbridge, VA 22191
Open in Google Maps ↗

Other Identifiers 5

Medicaid006029833VA
Medicare UPINE45666
Other0000000028690B C
Other4252028Aetna
Medicare ID-Type Unspecified060000614

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cardiac Care Center Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Cardiac Care Center PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Khosro Shareghi, M.D., F.A.C.C.
Cardiovascular Disease (Cardiology)
NPI 1093703076
2200 OPITZ BLVD SUITE 310
Woodbridge, VA 22191
(703) 494-5995
✔ PECOS✔ Accepts MedicareSame address

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

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 Cardiac Care Center PC's NPI number?

The NPI number for Cardiac Care Center PC is 1295804060. It was assigned to this organization in the NPPES registry on November 7, 2006.

Where is Cardiac Care Center PC located?

Cardiac Care Center PC is located at 2200 Opitz Blvd S 310, Woodbridge, VA 22191. The listed phone number is (703) 494-5995.

What is Cardiac Care Center PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Cardiac Care Center PC enrolled in Medicare?

Yes. Cardiac Care Center PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cardiac Care Center PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to Cardiac Care Center PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Cardiac Care Center PC was last updated on May 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.