1. Home
  2. Directory
  3. Virginia
  4. Fairfax
  5. Internal Medicine
  6. NPI Profile

SAMREEN ARIF ANSARI MD
NPI 1295994465
Internal Medicine - Geriatric Medicine in Fairfax, VA

Active since June 03, 2008PECOS EnrolledAccepts Medicare Assignment
3930 PENDER DR, SUITE 230, FAIRFAX, VA 22030(703) 620-6221(703) 620-6628 Get Directions Write a Review

NPPES record last updated: July 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samreen Arif Ansari Md NPPES

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

SAMREEN ARIF ANSARI MD (NPI 1295994465) is an individual geriatric medicine provider in Fairfax, Virginia, licensed in Virginia (0101249672) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1295994465
Entity TypeIndividualFemale
Primary Taxonomy207RG0300X
Provider Legal NameSAMREEN ARIF ANSARICredential: MD
Location Address3930 PENDER DR, SUITE 230Fairfax, VA 22030-0985
Mailing Address3930 Pender Dr, Suite 230Fairfax, VA 22030-0985 · (703) 620-6221 · Fax (703) 620-6628
Phone(703) 620-6221
Fax(703) 620-6628
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJune 3, 2008
Last NPPES UpdateJuly 14, 2021
NPPES CertifiedJune 20, 2021
✔ NPI 1295994465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Licenses✔ Licensed in VA · 0101249672✔ Licensed in NY · 253418
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
3930 PENDER DR, Fairfax, VA 22030
Open in Google Maps ↗

Other Identifiers 2

Medicaid1295994465VA
Other238636ZCDVDC · Medicare Ptan

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samreen Arif Ansari Md 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 ID345372868
PECOS Enrollment IDI20260227003888
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 22030 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
$194.86 typical visit price
range $65.18 – $194.86
Typical copayment $48.71 (range $16.29 – $48.71)
Most-billed visit code 99205
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Other Providers at the Same Location NPPES 20

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

MID ATLANTIC PAIN MANAGEMENT, LLC
Anesthesiology (Pain Medicine)
3930 PENDER DR, SUITE 120
FAIRFAX, VA 22030
Fairfax City (301) 829-7693
SAMAN MADANI DMD & SHADI SHAREGHI DDS PC
Dentist
3930 PENDER DR, SUITE #250
FAIRFAX, VA 22030
Fairfax City (703) 865-5779
DR. KENNETH JAE YOON KIM MD
Pediatrics
3930 PENDER DR, SUITE 330
FAIRFAX, VA 22030
Fairfax City (703) 246-0022
AMERICAN ADVANCED DENTAL ASSOCIATES
Clinic/Center (Dental)
3930 PENDER DR, SUITE 110
FAIRFAX, VA 22030
Fairfax City (703) 359-9080
OBGYN OF VIRGINIA, LLC
Obstetrics & Gynecology (Gynecology)
3930 PENDER DR, SUITE 60
FAIRFAX, VA 22030
Fairfax City (571) 249-0717
CENTERS FOR ADVANCED ORTHOPAEDICS, LLC
Orthopaedic Surgery
3930 PENDER DR, SUITE 210
FAIRFAX, VA 22030
Fairfax City (703) 648-3100
DR. LEILA H ZACKRISON M.D.
Internal Medicine (Rheumatology)
3930 PENDER DR, SUITE 280
FAIRFAX, VA 22030
Fairfax City (703) 359-9300
DERMATOLOGY OF VIRGINIA
Dermatology
3930 PENDER DR, SUITE 210
FAIRFAX, VA 22030
Fairfax City (703) 828-7128

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 Samreen Ansari's NPI number?

The NPI number for Samreen Ansari is 1295994465. It was assigned to this individual provider in the NPPES registry on June 3, 2008.

Where is Samreen Ansari located?

Samreen Ansari practices at 3930 Pender Dr Suite 230, Fairfax, VA 22030. The listed phone number is (703) 620-6221.

What is Samreen Ansari's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Samreen Ansari enrolled in Medicare?

Yes. Samreen Ansari 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.

When was this NPI record last updated?

The NPPES record for Samreen Ansari was last updated on July 14, 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.