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

NPI Status: Active since July 10, 2017

Contact Information

1595 SPRING HILL RD STE 520
VIENNA, VA
ZIP 22182
Phone: (703) 687-6610

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  • Individual
  • Female
  • Psychiatry & Neurology
  • Psychiatry
  • Opted-Out Medicare

About SAMAR ALI MIRZAEI

This page provides the complete NPI Profile along with additional information for Samar Ali Mirzaei, a provider established in Vienna, Virginia with a medical specialization in Psychiatry & Neurology, focusing in psychiatry . The healthcare provider is registered in the NPI registry with number 1962924076 assigned on July 2017. The practitioner's primary taxonomy code is 2084P0800X with license number 0101274277 (VA). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1962924076
Provider Name
SAMAR ALI MIRZAEI MD
Gender
Female
Entity Type
Individual
Location Address
1595 SPRING HILL RD STE 520 VIENNA, VA 22182
Location Phone
(703) 687-6610
Mailing Address
1595 SPRING HILL RD STE 520 VIENNA, VA 22182
Mailing Phone
(703) 687-6610
Is Sole Proprietor?
No
Enumeration Date
07-10-2017
Last Update Date
10-03-2022
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A psychiatrist like Samar Ali Mirzaei are primary mental health physicians diagnose and treat mental illnesses through psychotherapy, psychoanalysis, hospitalization and medication. Psychiatrist help patients find solutions through changes in their behavioral patterns, explorations of experiences, group and family therapy.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Samar Ali Mirzaei opted out of Medicare effective on 08-10-2022 until 08-10-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Psychiatry

Taxonomy Code
2084P0800X
Type
Allopathic & Osteopathic Physicians
License No.
0101274277
License State
VA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 08-10-2022

  • Opt-Out End Date: 08-10-2026

  • Eligible to Order and Refer? No

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1962924076, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
2
Unchanged
Pos 7
4
Doubled → 8
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 9 → 18 → 9 4 → 8 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 2 + 2 + 1 + 8 + 2 + 8 + 0 + 1 + 4 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1962924076.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Psychologist (Clinical)
1595 SPRING HILL RD STE 520
VIENNA, VA 22182
Clinic/Center (Adult Mental Health)
1595 SPRING HILL RD STE 520
VIENNA, VA 22182
Psychiatry & Neurology (Psychiatry)
1595 SPRING HILL RD STE 520
VIENNA, VA 22182
Psychologist (Clinical)
1595 SPRING HILL RD STE 520
VIENNA, VA 22182
Psychiatry & Neurology (Psychiatry)
1595 SPRING HILL RD STE 520
VIENNA, VA 22182
Behavior Analyst
1595 SPRING HILL RD STE 520
VIENNA, VA 22182
Psychologist (Clinical)
1595 SPRING HILL RD STE 520
VIENNA, VA 22182
Psychologist
1595 SPRING HILL RD STE 520
VIENNA, VA 22182
Psychologist (Clinical)
1595 SPRING HILL RD STE 520
VIENNA, VA 22182
Psychiatry & Neurology (Psychiatry)
1595 SPRING HILL RD STE 520
VIENNA, VA 22182
Psychologist (Clinical Child & Adolescent)
1595 SPRING HILL RD STE 520
VIENNA, VA 22182

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962924076, enumerated as an "individual" on July 10, 2017.

The provider is located at 1595 SPRING HILL RD STE 520 VIENNA, VA 22182 and the phone number is (703) 687-6610.

Psychiatry & Neurology with taxonomy code 2084P0800X and a focus in Psychiatry.