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

DR. KOUROSH DIBADJ M.D.
NPI 1487716593
Internal Medicine - Nephrology in Fairfax, VA

Active since December 14, 2006PECOS EnrolledAccepts Medicare Assignment
13135 LEE JACKSON MEMORIAL HWY, 135, FAIRFAX, VA 22033(703) 961-0488(703) 961-0480 Get Directions Write a Review

NPPES record last updated: August 11, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kourosh Dibadj M.d. NPPES

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

DR. KOUROSH DIBADJ M.D. (NPI 1487716593) is an individual nephrology provider in Fairfax, Virginia, licensed in Virginia (0101241367) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Mary Washington Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1487716593
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. KOUROSH DIBADJCredential: M.D.
Location Address13135 LEE JACKSON MEMORIAL HWY, 135Fairfax, VA 22033-1907
Mailing Address13135 Lee Jackson Memorial Hwy, 135Fairfax, VA 22033-1907 · (703) 961-0488 · Fax (703) 961-0480
Phone(703) 961-0488
Fax(703) 961-0480
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateDecember 14, 2006
Last NPPES UpdateAugust 11, 2016
✔ NPI 1487716593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in VA · 0101241367
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
13135 LEE JACKSON MEMORIAL HWY, Fairfax, VA 22033
Open in Google Maps ↗

Other Identifiers 4

Medicare PIN016583N55VA
Medicare UPINH 92033
Medicaid1487716593VA
Medicare PIN003416N18DC

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

Dr. Kourosh Dibadj M.d. 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 ID6507858636
PECOS Enrollment IDI20080407000500, I20080407000525
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
606 services181 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
470 services212 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
322 services46 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
136 services64 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
98 services65 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
91 services85 patients

Hospital Affiliations CMS Care Compare 5

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

Mary Washington Hospital

Acute Care Hospitals · Fredericksburg, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490022
Location1001 Sam Perry BoulevardFredericksburg, VA 22401 · Fredericksburg City County
Emergency services Birthing friendly

Inova Alexandria Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490040
Location4320 Seminary RdAlexandria, VA 22304 · Alexandria City County
Emergency services Birthing friendly

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490063
Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County
Emergency services Birthing friendly

Sentara Northern Virginia Medical Center

Acute Care Hospitals · Woodbridge, VA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490113
Location2300 Opitz BoulevardWoodbridge, VA 22191 · Prince William County
Emergency services Birthing friendly

Inova Mount Vernon Hospital

Acute Care Hospitals · Alexandria, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490122
Location2501 Parkers LaneAlexandria, VA 22306 · Fairfax County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22033 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
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 5

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
9 suppliers81 claims6,225 services$0.32 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
6 suppliers52 claims6,300 services$0.19 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers14 claims1,200 services$1.07 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
8 suppliers65 claims65 services$18.67 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
9 suppliers87 claims93 services$12.06 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

TRUSTED DOCTORS LLC
Pediatrics
13135 LEE JACKSON MEMORIAL HWY, SUITE 201
FAIRFAX, VA 22033
Fairfax County (703) 391-0900
ELIZABETH SUZANNE RELLIS CPNP
Nurse Practitioner (Pediatrics)
13135 LEE JACKSON MEMORIAL HWY
FAIRFAX, VA 22033
Fairfax County (703) 391-0900
PATRICIA A MCDADE CPNP
Nurse Practitioner (Pediatrics)
13135 LEE JACKSON MEMORIAL HWY, SUITE 201
FAIRFAX, VA 22033
Fairfax County (703) 391-0900
NEPHROLOGY ASSOCIATES OF NORTHERN VIRGINIA, INC
Internal Medicine (Nephrology)
13135 LEE JACKSON MEMORIAL HWY, #135
FAIRFAX, VA 22033
Fairfax County (703) 961-0488
WELLNESS AND PREVENTATIVE CARE CENTERS LLC
Internal Medicine
13135 LEE JACKSON MEMORIAL HWY
FAIRFAX, VA 22033
Fairfax County (703) 648-0015
JOANNA L CASEY FNP-BC
Nurse Practitioner (Family)
13135 LEE JACKSON MEMORIAL HWY, SUITE 201
FAIRFAX, VA 22033
Fairfax County (703) 391-0900
DR. ALI REZA ASSEFI MD
Internal Medicine (Nephrology)
13135 LEE JACKSON MEMORIAL HWY, 135
FAIRFAX, VA 22033
Fairfax County (703) 961-0488
JOCELYN MARIE SMITH FNP
Nurse Practitioner (Family)
13135 LEE JACKSON MEMORIAL HWY
FAIRFAX, VA 22033
Fairfax County (703) 961-0488

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 Kourosh Dibadj's NPI number?

The NPI number for Kourosh Dibadj is 1487716593. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Kourosh Dibadj located?

Kourosh Dibadj practices at 13135 Lee Jackson Memorial Hwy 135, Fairfax, VA 22033. The listed phone number is (703) 961-0488.

What is Kourosh Dibadj's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Kourosh Dibadj enrolled in Medicare?

Yes. Kourosh Dibadj 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.

Is Kourosh Dibadj affiliated with any hospitals?

According to CMS data, Kourosh Dibadj is affiliated with Mary Washington Hospital, Inova Alexandria Hospital, Inova Fairfax Hospital, Sentara Northern Virginia Medical Center and Inova Mount Vernon Hospital.

When was this NPI record last updated?

The NPPES record for Kourosh Dibadj was last updated on August 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.