AHMAD O NOORI MD PC
NPI 1407124506
Specialist in Reston, VA

Active since December 05, 2011
1860 TOWN CENTER DR, SUITE 280, RESTON, VA 20190(703) 742-8500(703) 742-9385 Get Directions Write a Review

NPPES record last updated: December 5, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ahmad O Noori Md Pc NPPES

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

AHMAD O NOORI MD PC (NPI 1407124506) is a healthcare organization registered as a specialist in Reston, Virginia and active in the NPI registry since December 2011. The organization lists Keisha Walls, Billing/office Manager, as its authorized official.

NPPES Registry Identity

NPI1407124506
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameAHMAD O NOORI MD PC
Location Address1860 TOWN CENTER DR, SUITE 280Reston, VA 20190-5896
Mailing Address1860 Town Center Dr, Suite 280Reston, VA 20190-5896 · (703) 742-8500 · Fax (703) 742-9385
Fax(703) 742-9385
Organization SubpartNo
Authorized OfficialKeisha WallsBilling/office Manager · (703) 742-0061
Enumeration DateDecember 5, 2011
✔ NPI 1407124506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in VA · 0101050528
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.
1860 TOWN CENTER DR, Reston, VA 20190

Other Identifiers 4

Medicaid005826187VA
Medicare UPINF17513VA
Medicare PIN628390VA
Other336704VA · Anthem

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)

Ahmad O Noori Md 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 Ahmad O Noori MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nephrology
NPI 1407874621
1860 TOWN CENTER DRIVE SUITE 280
Reston, VA 20190
(703) 742-8500
✔ PECOSSame 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 Ahmad O Noori MD PC's NPI number?

The NPI number for Ahmad O Noori MD PC is 1407124506. It was assigned to this organization in the NPPES registry on December 5, 2011.

Where is Ahmad O Noori MD PC located?

Ahmad O Noori MD PC is located at 1860 Town Center Dr Suite 280, Reston, VA 20190. The listed phone number is (703) 742-8500.

What is Ahmad O Noori MD PC's specialty?

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

Is Ahmad O Noori MD PC enrolled in Medicare?

Yes. Ahmad O Noori MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ahmad O Noori MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Ahmad O Noori MD 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 Ahmad O Noori MD PC was last updated on December 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.