| Ramin Ipakchi, MD | |
|
2070 Old Bridge Rd, Suite 103, Lake Ridge, VA 22192-2495 | |
| (703) 499-8787 | |
| (703) 499-8222 |
| Full Name | Ramin Ipakchi |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 27 Years |
| Location | 2070 Old Bridge Rd, Lake Ridge, Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912080334 | NPI | - | NPPES |
| 13805 | Other | GROUP ANTHEM PPO | |
| 297595 | Other | AMERIGROUP | |
| 002468176 | Other | UNITED HEALTH CARE | |
| 061724796 | Other | PHCS | |
| 061724796 | Other | TRICARE STANDARD | |
| 147462 | Other | ANTHEM HMO | |
| 2132794 | Other | MAMSI ALLIANCE | |
| 699691 | Other | NCPPO | |
| 355366 | Other | AETNA HMO | |
| J9630002 | Other | CAREFIRST | |
| 7308573 | Other | AETNA PPO | |
| 061724796 | Other | GREAT WEST HC | |
| 147462 | Other | ANTHEM PPO | |
| 00W081P02 | Other | MEDICARE | |
| 213794 | Other | OPTIMUM CHOICE | |
| 061724796 | Other | FIRST HEALTH | |
| 010095751 | Medicaid | VA | |
| 5672456 | Other | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 0101236020 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sentara Northern Virginia Medical Center | Woodbridge, VA | Hospital |
| Inova Fairfax Hospital | Falls church, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centers For Advanced Ent Care Llc | 1658647359 | 87 |
| Usa Sleep Diagnostic Mobile Services Llc | 4284956335 | 2 |
| Centers For Advanced Ent Care Llc | 1658647359 | 87 |
| Usa Sleep Diagnostic Mobile Services Llc | 4284956335 | 2 |
| Entity Name | Centers For Advanced Ent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447781620 PECOS PAC ID: 1658647359 Enrollment ID: O20171218002677 |
| Entity Name | Usa Sleep Diagnostic Mobile Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Sleep Laboratory/medicine |
| Entity Identifiers | NPI Number: 1508233032 PECOS PAC ID: 4284956335 Enrollment ID: O20200722001016 |
| Mailing Address | Practice Location Address |
|---|---|
| Ramin Ipakchi, MD Po Box 7657, Woodbridge, VA 22195-7657 Ph: (703) 499-8787 | Ramin Ipakchi, MD 2070 Old Bridge Rd, Suite 103, Lake Ridge, VA 22192-2495 Ph: (703) 499-8787 |