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PARK AVENUE MEDICAL GROUP, P.C.
NPI 1881862472
Internal Medicine - Endocrinology, Diabetes & Metabolism in Falls Church, VA

Active since February 15, 2008CLIA 49D0222348 · Waiver
313 PARK AVE, SUITE 202, FALLS CHURCH, VA 22046(703) 533-3010(703) 538-4316 Get Directions Write a Review

NPPES record last updated: February 15, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Park Avenue Medical Group, P.c. NPPES

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

PARK AVENUE MEDICAL GROUP, P.C. (NPI 1881862472) is a healthcare organization registered as an endocrinology, diabetes & metabolism in Falls Church, Virginia and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through June 16, 2027 and lists Firoozeh Hosseini Shahidi, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1881862472
Entity TypeOrganization
Primary Taxonomy207RE0101X
Legal Business NamePARK AVENUE MEDICAL GROUP, P.C.
Location Address313 PARK AVE, SUITE 202Falls Church, VA 22046-3327
Mailing Address313 Park Ave, Suite 202Falls Church, VA 22046-3327 · (703) 533-3010 · Fax (703) 538-4316
Phone(703) 533-3010
Fax(703) 538-4316
Organization SubpartNo
Authorized OfficialFiroozeh Hosseini ShahidiMedical Director · (703) 533-3010
Enumeration DateFebruary 15, 2008
✔ NPI 1881862472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
313 PARK AVE, Falls Church, VA 22046
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Other Identifiers 3

Medicare UPINE57384VA
Medicaid6006892VA
Medicare PIN085000DC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Park Avenue Medical Group, P.c. 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 Park Avenue Medical Group, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Firoozeh Shahidi, MD
Endocrinology
NPI 1619058674
313 PARK AVE SUITE 202
Falls Church, VA 22046
(703) 533-3010
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D0222348

Park Avenue Medical Group PC · Falls Church, VA
Active · expires Jun 16, 2027
CLIA Number49D0222348
Laboratory TypePhysician Office
Certificate Effective DateJune 17, 2025
Certificate Expiration DateJune 16, 2027
Laboratory DirectorFiroozeh H. Shahidi MD
Laboratory Phone(703) 533-3010
Laboratory LocationPark Avenue Medical Group PC313 Park Ave Suite 202, Falls Church, VA 22046
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Park Avenue Medical Group, P.C.'s NPI number?

The NPI number for Park Avenue Medical Group, P.C. is 1881862472. It was assigned to this organization in the NPPES registry on February 15, 2008.

Where is Park Avenue Medical Group, P.C. located?

Park Avenue Medical Group, P.C. is located at 313 Park Ave Suite 202, Falls Church, VA 22046. The listed phone number is (703) 533-3010.

What is Park Avenue Medical Group, P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Park Avenue Medical Group, P.C. enrolled in Medicare?

Yes. Park Avenue Medical Group, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Park Avenue Medical Group, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Endocrinology) reassigns their Medicare billing to Park Avenue Medical Group, P.C.. 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.

Does Park Avenue Medical Group, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D0222348) is associated with this NPI, valid through June 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Park Avenue Medical Group, P.C. was last updated on February 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.