MR. MORAD TAVALLALI M.D.
NPI 1356435515
Specialist in Vienna, VA

Q: What is Morad Tavallali's NPI number?

The NPI number for Morad Tavallali is 1356435515. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Q: What is Morad Tavallali's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Morad Tavallali was last updated on August 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since October 03, 2006PECOS Enrolled

8245 BOONE BLVD, SUITE 540, VIENNA, VA 22182(703) 876-9400 Get Directions Write a Review

NPPES record last updated: August 26, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Morad Tavallali M.d. NPPES

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

MR. MORAD TAVALLALI M.D. (NPI 1356435515) is an individual specialist in Vienna, Virginia, licensed in Virginia (0101049018) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356435515

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameMR. MORAD TAVALLALICredential: M.D.

Location Address8245 BOONE BLVD, SUITE 540Vienna, VA 22182-3828

Mailing Address8245 Boone Blvd, Suite 540Vienna, VA 22182-3828 · (703) 876-9400

Phone(703) 876-9400

Sole ProprietorYes

Enumeration DateOctober 3, 2006

Last NPPES UpdateAugust 26, 2013

✔ NPI 1356435515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in VA · 0101049018

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

8245 BOONE BLVD, Vienna, VA 22182

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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)

Mr. Morad Tavallali M.d. 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.

Other Providers at the Same Location NPPES

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

REBEKAH ATWATER CLC, PCD

Doula

8245 BOONE BLVD
TYSONS, VA 22182

Fairfax County (703) 662-1769

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 Morad Tavallali's NPI number?

The NPI number for Morad Tavallali is 1356435515. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Morad Tavallali located?

Morad Tavallali practices at 8245 Boone Blvd Suite 540, Vienna, VA 22182. The listed phone number is (703) 876-9400.

What is Morad Tavallali's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Morad Tavallali enrolled in Medicare?

Yes. Morad Tavallali is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Morad Tavallali was last updated on August 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.