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

DAVOUD MOHTAT M.D.
NPI 1639483373
Pediatrics - Pediatric Nephrology in Fairfax, VA

Active since August 05, 2010PECOS EnrolledAccepts Medicare Assignment
3023 HAMAKER CT, SUITE 600, FAIRFAX, VA 22031(703) 876-2788 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 19, 2020, Dec 29, 2016 (2 updates tracked since 2016).

About Davoud Mohtat M.d. NPPES

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

DAVOUD MOHTAT M.D. (NPI 1639483373) is an individual pediatric nephrology provider in Fairfax, Virginia, licensed in Virginia (0101253093) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1639483373
Entity TypeIndividualMale
Primary Taxonomy2080P0210X
Provider Legal NameDAVOUD MOHTATCredential: M.D.
Location Address3023 HAMAKER CT, SUITE 600Fairfax, VA 22031-2207
Mailing Address7146 Swansong WayBethesda, MD 20817-1251 · (347) 267-0858
Phone(703) 876-2788
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateAugust 5, 2010
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedOctober 19, 2020
✔ NPI 1639483373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
Licenses✔ Licensed in VA · 0101253093✔ Licensed in CT · 048941
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
3023 HAMAKER CT, Fairfax, VA 22031
Open in Google Maps ↗

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

Davoud Mohtat 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 ID2466644125
PECOS Enrollment IDI20230707000028
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 20

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

DR. LINDSEY WALDMAN
Pediatrics (Pediatric Endocrinology)
3023 HAMAKER CT
FAIRFAX, VA 22031
Fairfax County (703) 839-8797
DR. JONATHAN EE YAGER MD
Internal Medicine (Cardiovascular Disease)
3023 HAMAKER CT, SUITE 100
FAIRFAX, VA 22031
Fairfax County (703) 641-9161
TATIANA MCGEE CPNP-AC
Nurse Practitioner (Pediatrics)
3023 HAMAKER CT
FAIRFAX, VA 22031
Fairfax County (703) 876-2788
DR. KENNETH M BROOKS MD
Internal Medicine (Cardiovascular Disease)
3023 HAMAKER CT, SUITE 100
FAIRFAX, VA 22031
Fairfax County (703) 641-9161
3D BODY IMAGING LLC
Clinic/Center (Radiology)
3023 HAMAKER CT, LL50
FAIRFAX, VA 22031
Fairfax County (703) 849-8808
KALPANA THAMMINENI MD
Pediatrics (Pediatric Cardiology)
3023 HAMAKER CT
FAIRFAX, VA 22031
Fairfax County (571) 647-3777
MRS. HALEY MARIE GILMORE SMITH
Registered Nurse
3023 HAMAKER CT
FAIRFAX, VA 22031
Fairfax County (703) 876-2788
MRS. ROBYN MICHELLE MORRISSETTE PA-C, ATC-R
Physician Assistant (Surgical)
3023 HAMAKER CT, SUITE 300
FAIRFAX, VA 22031
Fairfax County (571) 405-5715

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 Davoud Mohtat's NPI number?

The NPI number for Davoud Mohtat is 1639483373. It was assigned to this individual provider in the NPPES registry on August 5, 2010.

Where is Davoud Mohtat located?

Davoud Mohtat practices at 3023 Hamaker Ct Suite 600, Fairfax, VA 22031. The listed phone number is (703) 876-2788.

What is Davoud Mohtat's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Davoud Mohtat enrolled in Medicare?

Yes. Davoud Mohtat 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.

When was this NPI record last updated?

The NPPES record for Davoud Mohtat was last updated on November 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.