MICHAEL REZA BANIHASHEMI MD
NPI 1558405944
Internal Medicine - Cardiovascular Disease in Fairfax, VA

Active since February 18, 2007PECOS EnrolledAccepts Medicare Assignment
3023 HAMAKER CT, SUITE 100, FAIRFAX, VA 22031(703) 641-9161 Get Directions Write a Review

NPPES record last updated: July 8, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael Reza Banihashemi Md NPPES

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

MICHAEL REZA BANIHASHEMI MD (NPI 1558405944) is an individual cardiovascular disease provider in Fairfax, Virginia, licensed in Virginia (0101251401) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Inova Loudoun Hospital, and is a graduate of University Of Maryland School Of Medicine (2006).

NPPES Registry Identity

NPI1558405944
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMICHAEL REZA BANIHASHEMICredential: MD
Location Address3023 HAMAKER CT, SUITE 100Fairfax, VA 22031-2207
Mailing Address3023 Hamaker Ct, Suite 100Fairfax, VA 22031-2207
Sole ProprietorYes
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2006
Enumeration DateFebruary 18, 2007
Last NPPES UpdateJuly 8, 2014
NPI 1558405944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in VA · 0101251401
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
3023 HAMAKER CT, Fairfax, VA 22031

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

Michael Reza Banihashemi Md 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 ID7517127780
PECOS Enrollment IDI20120702000069, I20120724001027
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 27

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.

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.
1,005 services540 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
882 services726 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
553 services491 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296
This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
497 services234 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
390 services181 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
342 services87 patients

Hospital Affiliations CMS Care Compare 5

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

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

Reston Hospital Center

Acute Care Hospitals · Reston, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490107
Location1850 Town Center ParkwayReston, VA 20190 · Fairfax County
Emergency services

Uva Health Haymarket Medical Center

Acute Care Hospitals · Haymarket, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490144
Location15225 Healthcote BoulevardHaymarket, VA 20169 · Prince William County
Emergency services

Stonesprings Hospital Center

Acute Care Hospitals · Dulles, VA
OwnershipProprietary
CMS Certification Number490145
Location24440 Stone Springs BoulevardDulles, VA 20166 · Loudoun County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22031 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
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%2,462 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%423 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
93%2,104 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
98%2,104 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
58%2,104 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
55%2,104 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Pediatrics (Pediatric Endocrinology)
3023 HAMAKER CT
FAIRFAX, VA 22031
Internal Medicine (Cardiovascular Disease)
3023 HAMAKER CT, SUITE 100
FAIRFAX, VA 22031
Nurse Practitioner (Pediatrics)
3023 HAMAKER CT
FAIRFAX, VA 22031
Internal Medicine (Cardiovascular Disease)
3023 HAMAKER CT, SUITE 100
FAIRFAX, VA 22031
Clinic/Center (Radiology)
3023 HAMAKER CT, LL50
FAIRFAX, VA 22031
Pediatrics (Pediatric Cardiology)
3023 HAMAKER CT
FAIRFAX, VA 22031
Registered Nurse
3023 HAMAKER CT
FAIRFAX, VA 22031
Physician Assistant (Surgical)
3023 HAMAKER CT, SUITE 300
FAIRFAX, VA 22031

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 Michael Banihashemi's NPI number?

The NPI number for Michael Banihashemi is 1558405944. It was assigned to this individual provider in the NPPES registry on February 18, 2007.

Where is Michael Banihashemi located?

Michael Banihashemi practices at 3023 Hamaker Ct Suite 100, Fairfax, VA 22031. The listed phone number is (703) 641-9161.

What is Michael Banihashemi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Michael Banihashemi enrolled in Medicare?

Yes. Michael Banihashemi 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 Michael Banihashemi affiliated with any hospitals?

According to CMS data, Michael Banihashemi is affiliated with Inova Loudoun Hospital, Inova Fairfax Hospital, Reston Hospital Center, Uva Health Haymarket Medical Center and Stonesprings Hospital Center.

When was this NPI record last updated?

The NPPES record for Michael Banihashemi was last updated on July 8, 2014. 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.