Physician Compare National (NPI:1306924741)

HEALTHCARE PROVIDER: MAHNAZ MOMENI MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1306924741
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6406885870
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050805000393
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MOMENI
	Individual professional last name
Provider First Name	MAHNAZ
	Individual professional first name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1994
	Individual professional's medical school graduation year
Primary Specialty	RHEUMATOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	ARTHRITIS AND RHEUMATOLOGY CLINICAL CENTER OF NORTHERN VIRGINIA, PLLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	3678898541
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	2
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	8130 BOONE BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 340
	Group Practice or individual's line 2 address
City	VIENNA
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	221822640
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7037342222
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	490122
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	INOVA MOUNT VERNON HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y