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MOHAMMAD REZA DIDEHVAR MD
NPI 1396867644
Family Medicine in Mclean, VA

Active since April 06, 2007Opted out of Medicare · through Nov 14, 2027
6262 OLD DOMINION DRIVE, MCLEAN, VA 22101(703) 893-2505(703) 893-2506 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mohammad Reza Didehvar Md NPPES

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

MOHAMMAD REZA DIDEHVAR MD (NPI 1396867644) is an individual family medicine provider in Mclean, Virginia, licensed in Virginia (0101052566) and active in the NPI registry since April 2007. He has opted out of Medicare through November 14, 2027.

NPPES Registry Identity

NPI1396867644
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMOHAMMAD REZA DIDEHVARCredential: MD
Location Address6262 OLD DOMINION DRIVEMclean, VA 22101
Mailing Address6262 Old Dominion DriveMclean, VA 22101 · (703) 893-2505 · Fax (703) 893-2506
Phone(703) 893-2505
Fax(703) 893-2506
Sole ProprietorYes
Enumeration DateApril 6, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1396867644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101052566
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6262 OLD DOMINION DRIVE, Mclean, VA 22101
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Mohammad Reza Didehvar Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 14, 2013 through November 14, 2027.

Opt-Out Effective DateNovember 14, 2013
Opt-Out In Effect ThroughNovember 14, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22101 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$4.51 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$8.11 avg. paid by Medicare
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each A4432
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$3.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Mohammad Didehvar's NPI number?

The NPI number for Mohammad Didehvar is 1396867644. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Where is Mohammad Didehvar located?

Mohammad Didehvar practices at 6262 Old Dominion Drive, Mclean, VA 22101. The listed phone number is (703) 893-2505.

What is Mohammad Didehvar's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mohammad Didehvar enrolled in Medicare?

No. Mohammad Didehvar has opted out of Medicare through November 14, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mohammad Didehvar was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.