Look up the most recent NPI and PECOS records

Ali Yashar Ebadi

Family Medicine

Allopathic & Osteopathic Physicians

3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033-1715

(703) 391-2020

PECOS Enrollment

This provider is enrolled in PECOS as ALI EBADI.

Based on the most recent information from CMS, provider Ali Yashar Ebadi is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1700620853
Provider Type
Individual
Full Name
Ebadi, Ali Yashar
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
6/24/2024
Last Updated
6/24/2024

Contact Information

Practice Location

3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033-1715

(703) 391-2020

(703) 264-9861

Mailing Location

3650 Joseph Siewick Dr Ste 400, Fairfax, VA 22033-1715

(703) 391-2020

(703) 264-9861

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License 0116039284 Virginia

Ali Yashar Ebadi

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Fencil, Charles Raymond

Hampl, Luise Isabel

Jones, Samuel Moseley

Woolf, Steven Herbert

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Spinks, Jeremy George

Wilson, Kyler Edward

Hancock, Kendall

Tsapos, Evangelia E