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AZAR MAHDAVI FNP-BC
NPI 1336932482
Nurse Practitioner in Leesburg, VA

Active since May 22, 2025PECOS EnrolledAccepts Medicare Assignment
44055 RIVERSIDE PKWY STE 106, LEESBURG, VA 20176(844) 466-8244 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Azar Mahdavi Fnp-bc NPPES

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

AZAR MAHDAVI FNP-BC (NPI 1336932482) is an individual nurse practitioner in Leesburg, Virginia, licensed in Virginia (24193204) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS, is affiliated with Inova Loudoun Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1336932482
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAZAR MAHDAVICredential: FNP-BC
Location Address44055 RIVERSIDE PKWY STE 106Leesburg, VA 20176-5155
Mailing Address21250 Windmill Parc Dr Unit 104Sterling, VA 20166-6699 · (703) 470-7841
Phone(844) 466-8244
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMay 22, 2025
NPPES CertifiedApril 24, 2025
✔ NPI 1336932482 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 · 24193204
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.
44055 RIVERSIDE PKWY STE 106, Leesburg, VA 20176
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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

Azar Mahdavi Fnp-bc 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 ID2860999091
PECOS Enrollment IDI20251006003644, I20251106003692
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 Reassignment

Medicare enrollment records show Azar Mahdavi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Inova Health Care Services
16 mi
Urgent Care
100 MAPLE AVE E
Vienna, VA 22180
  • Reassigned Medicare billing, Virginia and District of Columbia enrollments
  • Also billed through NPI 1669511051 (District of Columbia)
  • 2,379 clinicians in this Medicare group
NPI 1275886418 (703) 938-5300

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Inova Loudoun Hospital

Acute Care Hospitals · Leesburg, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490043
Location44045 Riverside ParkwayLeesburg, VA 20176 · Loudoun County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20176 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.

Other Providers at the Same Location NPPES 2

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

DR. ANITA BAKSHI KUMAR M.D.
Internal Medicine (Gastroenterology)
44055 RIVERSIDE PKWY STE 106
LEESBURG, VA 20176
Loudoun County (703) 858-6202
GURLEEN SIDHU SODHI MSN,FNP-C
Nurse Practitioner (Family)
44055 RIVERSIDE PKWY STE 106
LEESBURG, VA 20176
Loudoun County (844) 466-8244

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 Azar Mahdavi's NPI number?

The NPI number for Azar Mahdavi is 1336932482. It was assigned to this individual provider in the NPPES registry on May 22, 2025.

Where is Azar Mahdavi located?

Azar Mahdavi practices at 44055 Riverside Pkwy Ste 106, Leesburg, VA 20176. The listed phone number is (844) 466-8244.

What is Azar Mahdavi's specialty?

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

Is Azar Mahdavi enrolled in Medicare?

Yes. Azar Mahdavi 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 organization bills Medicare for Azar Mahdavi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Azar Mahdavi reassigns Medicare benefits to Inova Health Care Services (Vienna, VA). The 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 Azar Mahdavi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Azar Mahdavi affiliated with any hospitals?

According to CMS data, Azar Mahdavi is affiliated with Inova Loudoun Hospital.

When was this NPI record last updated?

The NPPES record for Azar Mahdavi was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.