Davoud Mohtat, MD in Fairfax, VA - Medicare Pediatrics

Davoud Mohtat, MD is a medicare enrolled "Pediatrics - Pediatric Nephrology" physician in Fairfax, Virginia. His current practice location is 3023 Hamaker Ct, Suite 600, Fairfax, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 876-2788.

Davoud Mohtat is licensed to practice in Virginia (license number 0101253093) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639483373.

Contact Information

	Davoud Mohtat, MD
	3023 Hamaker Ct, Suite 600, Fairfax, VA 22031-2207
	(703) 876-2788
	Not Available

Map and Direction

Physician's Profile

Full Name	Davoud Mohtat
Gender	Male
Speciality	Pediatrics - Pediatric Nephrology
Location	3023 Hamaker Ct, Fairfax, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639483373
Provider Enumeration Date: 08/05/2010
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 2466644125
Enrollment ID: I20130131000281

Medical Identifiers

Medical identifiers for Davoud Mohtat such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639483373	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0210X	Pediatrics - Pediatric Nephrology	048941 (Connecticut)	Secondary
2080P0210X	Pediatrics - Pediatric Nephrology	0101253093 (Virginia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Davoud Mohtat allows following entities to bill medicare on his behalf.

Entity Name	Mgmc Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891797148 PECOS PAC ID: 9537073119 Enrollment ID: O20031220000056

Entity Name	Inova Health Care Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20040102000644

Entity Name	Pediatric Specialists Of Virginia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699119818 PECOS PAC ID: 7719110154 Enrollment ID: O20140509000026

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Davoud Mohtat is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Davoud Mohtat, MD 7146 Swansong Way, Bethesda, MD 20817-1251 Ph: (347) 267-0858	Davoud Mohtat, MD 3023 Hamaker Ct, Suite 600, Fairfax, VA 22031-2207 Ph: (703) 876-2788

Reviews and Comments

Pediatrics Doctors in Fairfax, VA

Ho Chung Tu, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3913 Old Lee Highway, Office No 31b, Fairfax, VA 22030 Phone: 703-359-0245 Fax: 928-436-3339
Dr. Lindsey Waldman, Pediatrics Medicare: Medicare Enrolled Practice Location: 3023 Hamaker Ct, Fairfax, VA 22031 Phone: 703-839-8797
Dr. Laura E. Byrnes, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3650 Joseph Siewick Dr, Ste 101, Fairfax, VA 22033 Phone: 703-391-0900 Fax: 703-391-2919
Dr. Julie-ann M Crewalk, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2730-c Prosperity Avenue, Fairfax, VA 22031 Phone: 703-226-2280 Fax: 703-752-1713
Sandy L. Chung, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3650 Joseph Siewick Dr, Ste 101, Fairfax, VA 22033 Phone: 703-391-0900 Fax: 703-391-2919
Dr. James R Baugh, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3020 Hamaker Ct, Suite 200, Fairfax, VA 22031 Phone: 703-573-2432 Fax: 703-280-9350
Benjamin Isaac Enav, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2700 Prosperity Ave, Suite 260, Fairfax, VA 22031 Phone: 571-314-0444 Fax: 855-237-3628

Davoud Mohtat, MD - Medicare Pediatrics in Fairfax, VA