MATINDOKHT TAHERI (FNP) – Nurse Practitioner, NPI 1821511734

MATINDOKHT TAHERI (FNP) is a healthcare provider. based in Great falls, Virginia. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 0024174812 (VA). The NPI Number for MATINDOKHT TAHERI (FNP) is 1821511734

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MATINDOKHT TAHERI (FNP)
NPI
1821511734
Phone
(703) 863-9500
Address
1115 RIVA RIDGE DR
Enumeration Date
23 July 2017
Last Update Date
12 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7034926822
Graduation Year
2017 (9 years ago)
PAC ID
6305111717
Group Practice PAC ID
0941499594
Professional Enrollment ID
I20180111002006
Address ID
VA221922383WO1990XRDXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

8,307 NURSE PRACTITIONER in VA

Provider Addresses for MATINDOKHT TAHERI (FNP)

  • 1115 RIVA RIDGE DR

    GREAT FALLS, VA 220661616

    Phone: (703) 863-9500

    Type: Mailing

  • 1990 Old Bridge Rd Ste 201

    Woodbridge, VA 221922383

    Phone: (703) 492-6822

    Type: Location

  • 1990 Old Bridge Rd Ste 101

    Woodbridge, VA 221922383

    Phone: (703) 492-6822

    Type: Location

  • 422 Garrisonville Rd Ste 104

    Stafford, VA 225541573

    Phone: (540) 628-2173

    Type: Location

  • 8008 WESTPARK DR

    MC LEAN, VA 221023109

    Phone: (844) 549-0597

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 92 Open Payments records for all available years, with a total value of $1,986.

Total Amount is formed as General ($1,986) + Research ($0) + Ownership ($0) = $1,986.

Last reported payment date: 2024-12-21 • Largest payer in this snapshot: Boston Scientific Corporation ($253).

Total Amount

$1,986

General + Research + Ownership

Payments

92

Total payment records

General Amount

$1,986

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-21

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-01-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171011002729INurse PractitionerDCTBD
I20180111002006INurse PractitionerVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes620445$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report290278$0
99204New patient office or other outpatient visit, 45-59 minutes144144$0
99213Established patient office or other outpatient visit, 20-29 minutes2121$0
98967Telephone medical discussion provided by nonphysician professional, 11-20 minutes1716$0
View full utilization report →

Insurance plans in this area (ZIP 22066)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0941499594View full group profile
NameSpecialtyState
Nurse PractitionerVA
Physician AssistantVA
Internal Medicine, Cardiovascular Disease (Cardiology)VA
Cardiovascular Disease (Cardiology)VA
Nurse PractitionerVA
Nurse PractitionerVA
Interventional Cardiology, Cardiovascular Disease (Cardiology)VA
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)TX
Interventional Cardiology, Cardiovascular Disease (Cardiology)NJ
Internal MedicineIL

Reviews

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Frequently asked questions

How is MATINDOKHT TAHERI (FNP) identified in CMS data?
CMS-hosted NPPES data lists MATINDOKHT TAHERI (FNP) with NPI 1821511734.
Can I rely on MATINDOKHT TAHERI (FNP) being an active provider?
As of the registry snapshot, MATINDOKHT TAHERI (FNP) is marked active.
What healthcare role does MATINDOKHT TAHERI (FNP) hold?
Scheduling teams often label MATINDOKHT TAHERI (FNP) under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for MATINDOKHT TAHERI (FNP)?
MATINDOKHT TAHERI (FNP)'s geographic hint is Great Falls, Virginia in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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