SAMAR ALI MIRZAEI MD
NPI 1962924076
Psychiatry & Neurology - Psychiatry in Vienna, VA

Q: What is Samar Ali Mirzaei's NPI number?

The NPI number for Samar Ali Mirzaei is 1962924076. It was assigned to this individual provider in the NPPES registry on July 10, 2017.

Q: What is Samar Ali Mirzaei's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: Is Samar Ali Mirzaei enrolled in Medicare?

No. Samar Ali Mirzaei has opted out of Medicare through August 10, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Samar Ali Mirzaei was last updated on October 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 10, 2017Opted out of Medicare · through Aug 10, 2026

1595 SPRING HILL RD STE 520, VIENNA, VA 22182(703) 687-6610 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2022, Jul 10, 2017 (2 updates tracked since 2017).

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About Samar Ali Mirzaei Md NPPES

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

SAMAR ALI MIRZAEI MD (NPI 1962924076) is an individual psychiatry provider in Vienna, Virginia, licensed in Virginia (0101274277) and active in the NPI registry since July 2017. She has opted out of Medicare through August 10, 2026.

NPPES Registry Identity

NPI1962924076

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameSAMAR ALI MIRZAEICredential: MD

Location Address1595 SPRING HILL RD STE 520Vienna, VA 22182-4101

Mailing Address1595 Spring Hill Rd Ste 520Vienna, VA 22182-4101 · (703) 687-6610

Phone(703) 687-6610

Sole ProprietorNo

Enumeration DateJuly 10, 2017

Last NPPES UpdateOctober 3, 20222 updates tracked since enumeration

NPPES CertifiedOctober 2, 2022

✔ NPI 1962924076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in VA · 0101274277

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1595 SPRING HILL RD STE 520, Vienna, VA 22182

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Samar Ali Mirzaei Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 10, 2022 through August 10, 2026.

Opt-Out Effective DateAugust 10, 2022

Opt-Out In Effect ThroughAugust 10, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 12

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

KATHERINE CARR PSYD

Psychologist (Clinical)