SAMIA PIRACHA M.D.
NPI 1275508715
Radiology - Diagnostic Radiology in Fairfax, VA


Quality Rating: 48.42 out of 100 score

NPI Status: Active since February 20, 2006

Contact Information

2722 MERRILEE DR
SUITE 230
FAIRFAX, VA
ZIP 22031
Phone: (703) 698-4483
Fax: (703) 573-0880

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  • Individual
  • Female
  • Years of Experience 26
  • Radiology
  • Diagnostic Radiology
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About SAMIA PIRACHA

This page provides the complete NPI Profile along with additional information for Samia Piracha, a provider established in Fairfax, Virginia with a medical specialization in Radiology, focusing in diagnostic radiology and more than 26 years of experience. She graduated from West Virginia University School Of Medicine in 2000. The healthcare provider is registered in the NPI registry with number 1275508715 assigned on February 2006. The practitioner's primary taxonomy code is 2085R0202X with license number 0101240104 (VA). The provider is registered as an individual and her NPI record was last updated 17 years ago.

NPI
1275508715
Provider Name
SAMIA PIRACHA M.D.
Other Name
SAMIA RASHID PIRACHA MD
Other Name Type
Other Name (5)
Gender
Female
Entity Type
Individual
Location Address
2722 MERRILEE DR SUITE 230 FAIRFAX, VA 22031
Location Phone
(703) 698-4483
Location Fax
(703) 573-0880
Mailing Address
PO BOX 3650 MERRIFIELD, VA 22116
Mailing Phone
(703) 698-4483
Mailing Fax
(703) 573-0880
Medical School Name
WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
2000
Is Sole Proprietor?
No
Enumeration Date
02-20-2006
Last Update Date
04-15-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
License No.
0101240104
License State
VA
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0101240104OTHER (01)VALICENSE
0094OTHER (01)VACAREFIRST
P00459669OTHER (01)VARR MEDICARE
3810003557MEDICAID (05)WV 
012438F12MEDICARE PIN (08)VA 
P00345276MEDICARE PIN (08)VA 
019946F43MEDICARE PIN (08)DC 

Medicare Participation & PECOS Enrollment Status

Samia Piracha is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Samia Piracha is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6103863956

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20061108000579, I20070322000628, I20200624000719

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Biopsy of breast and placement of locating device using mri, first growth

A biopsy involves taking a small sample from a growth in the breast for testing, using MRI for precision. A locating device is also placed during this procedure to mark the area for future reference. This helps in accurate diagnosis and treatment planning.

This service was performed 14 times for 14 patients

Biopsy of breast and placement of locating device using ultrasound, first growth

A breast biopsy with locating device placement involves taking a small sample from an unusual growth, using ultrasound for precise targeting. This sample is studied for any abnormal cells. A locating device is also placed to mark the area for future reference.

This service was performed 11 times for 11 patients

Biopsy of breast and placement of locating device using x-ray with needle, first growth

A biopsy of the breast involves extracting a small sample of tissue for examination. A locating device placement, guided by x-ray, aids in identifying the exact spot of the first growth. A needle is used in both processes to ensure precision and minimal discomfort.

This service was performed 12 times for 12 patients

Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)

Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.

This service was performed 167 times for 166 patients

Diagnostic mammography of 1 breast

Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.

This service was performed 29 times for 29 patients

Diagnostic mammography of 1 breast

Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.

This service was performed 123 times for 121 patients

Diagnostic mammography of both breasts

Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.

This service was performed 16 times for 16 patients

Diagnostic mammography of both breasts

Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.

This service was performed 137 times for 137 patients

Dxa bone density measurement of hip, pelvis, spine

A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.

This service was performed 514 times for 514 patients

Injection, gadoteridol, (prohance multipack), per ml

Gadoteridol, found in ProHance Multipack, is a contrast agent used in MRI scans. It's injected into your body to help highlight certain areas, making them easier to see. This can assist in diagnosing various health conditions. It's generally safe with few side effects.

This service was performed 315 times for 22 patients

Limited ultrasound scan of 1 breast

A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.

This service was performed 25 times for 25 patients

Limited ultrasound scan of 1 breast

A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.

This service was performed 100 times for 99 patients

Mri scan of both breasts

An MRI scan of both breasts is a non-invasive procedure using magnetic fields and radio waves to create detailed images of your chest area. This aids in detecting any abnormalities, ensuring your health and well-being.

This service was performed 49 times for 49 patients

Mri scan of both breasts

An MRI scan of both breasts is a non-invasive procedure using magnetic fields and radio waves to create detailed images of your chest area. This aids in detecting any abnormalities, ensuring your health and well-being.

This service was performed 28 times for 17 patients

Screening 3d breast mammography

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

This service was performed 697 times for 626 patients

Screening mammography

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

This service was performed 36 times for 36 patients

Screening mammography

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

This service was performed 792 times for 715 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $25.07 for a new patient copayment and $20.16 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 22031 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $100.31
  • Minimum New Patient Price $65.18
  • Maximum New Patient Price $194.86
  • Average New Patient Copayment $25.07
  • Minimum New Patient Copayment $16.29
  • Maximum New Patient Copayment $48.71

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $80.66
  • Minimum Established Patient Price $21.4
  • Maximum Established Patient Price $158.88
  • Average Established Patient Copayment $20.16
  • Minimum Established Patient Copayment $5.35
  • Maximum Established Patient Copayment $39.72

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 48.42, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 48.42 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 34.25

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: 48.6

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: 48.6

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Samia Piracha is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
INOVA ALEXANDRIA HOSPITAL4320 SEMINARY RD
ALEXANDRIA, VA 22304
(703) 504-3167Acute Care Hospitals
INOVA LOUDOUN HOSPITAL44045 RIVERSIDE PARKWAY
LEESBURG, VA 20176
(703) 858-6600Acute Care Hospitals
INOVA FAIRFAX HOSPITAL3300 GALLOWS ROAD
FALLS CHURCH, VA 22042
(703) 776-4001Acute Care Hospitals
INOVA FAIR OAKS HOSPITAL3600 JOSEPH SIEWICK DRIVE
FAIRFAX, VA 22033
(703) 391-4170Acute Care Hospitals
INOVA MOUNT VERNON HOSPITAL2501 PARKERS LANE
ALEXANDRIA, VA 22306
(703) 664-7000Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1275508715
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221451001672
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 0 + 0 + 1 + 6 + 7 + 2 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1275508715 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1134119639 VALERIE A POMPER MD
Individual
Radiology (Diagnostic Radiology)2722 MERRILEE DR STE 230
FAIRFAX, VA 22031
(703) 698-4444
1588655005DR. JOHN H LEE M.D.
Individual
Radiology (Diagnostic Radiology)2722 MERRILEE DR SUITE 230
FAIRFAX, VA 22031
(703) 698-4483
1700869872 SHARON DHEUREUX MD
Individual
Radiology (Diagnostic Radiology)2722 MERRILEE DR STE 230
FAIRFAX, VA 22031
(703) 698-0056
1467430074DR. CHRISTOPHER KEVIN GRADY MD
Individual
Radiology (Diagnostic Radiology)2722 MERRILEE DR SUITE 230
FAIRFAX, VA 22031
(703) 698-4483
1447221593 PHILIP TYLER MINSHEW M.D.
Individual
Radiology (Diagnostic Radiology)2722 MERRILEE DR STE 230
FAIRFAX, VA 22031
(703) 698-4483
1063487585 LILY CHU SICARD M.D.
Individual
Radiology (Diagnostic Radiology)2722 MERRILEE DR STE 230
FAIRFAX, VA 22031
(703) 698-4444
1043240419 RODNEY J BUTCH M.D.
Individual
Radiology (Diagnostic Radiology)2722 MERRILEE DR STE. 230
FAIRFAX, VA 22031
(703) 698-4483
1497789242 CHARLENE A CURRY M.D.
Individual
Radiology (Diagnostic Radiology)2722 MERRILEE DR SUITE 230
FAIRFAX, VA 22031
(703) 698-4483
1972538098 CHRISTOPHER M. RIGSBY MD
Individual
Radiology (Diagnostic Radiology)2722 MERRILEE DR SUITE 230
FAIRFAX, VA 22031
(703) 698-4444
1356375547 LESLIE A BORD MD
Individual
Radiology (Diagnostic Radiology)2722 MERRILEE DR SUITE 230
FAIRFAX, VA 22031
(703) 698-4483
1609800804 NAKUL JERATH MD
Individual
Radiology (Diagnostic Radiology)2722 MERRILEE DR SUITE 230
FAIRFAX, VA 22031
(703) 698-4483
1629002837 W. LIOYD REDLIN MD
Individual
Radiology (Body Imaging)2722 MERRILEE DR #230
FAIRFAX, VA 22031
(703) 698-0056
1023042231 SAMEENA F NASRULLAH MD
Individual
Radiology (Diagnostic Radiology)2722 MERRILEE DR SUITE 230
FAIRFAX, VA 22031
(703) 698-4483
1639103849 KENNETH G. RIETH MD
Individual
Radiology (Diagnostic Radiology)2722 MERRILEE DR #230
FAIRFAX, VA 22031
(703) 698-4498
1386669307 LEESA M MADSEN PA
Individual
Radiology (Diagnostic Radiology)2722 MERRILEE DR SUITE 230
FAIRFAX, VA 22031
(703) 698-4483
1104844125 CLIFFORD LADER MD
Individual
Radiology (Diagnostic Radiology)2722 MERRILEE DR SUITE 230
FAIRFAX, VA 22031
(703) 698-0056
1003834029 CHERYL A LINDSTROM MD
Individual
Radiology (Diagnostic Radiology)2722 MERRILEE DR SUITE 230
FAIRFAX, VA 22031
(703) 698-4444
1528086543 MARSHALL C MINTZ MD
Individual
Radiology (Diagnostic Radiology)2722 MERRILEE DR SUITE 230
FAIRFAX, VA 22031
(703) 698-4483
1912925926 GORDON L HEAD MD
Individual
Radiology (Diagnostic Radiology)2722 MERRILEE DR SUITE 230
FAIRFAX, VA 22031
(703) 698-4483
1811915820 DANIEL L. OVERDECK MD
Individual
Radiology (Diagnostic Radiology)2722 MERRILEE DR
FAIRFAX, VA 22031
(703) 698-4483

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275508715, enumerated in the NPI registry as an "individual" on February 20, 2006

The provider is located at 2722 Merrilee Dr Suite 230 Fairfax, Va 22031 and the phone number is (703) 698-4483

The provider's speciality is Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology

The provider has more than 26 years of experience. She graduated from West Virginia University School Of Medicine in 2000.

The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $100.31 with an average copayment of $25.07 for new patient appointments. Established patients should expect a typical charge of $80.66 and an average copayment of 20.16. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Biopsy of breast and placement of locating device using mri, first growth, Biopsy of breast and placement of locating device using ultrasound, first growth, Biopsy of breast and placement of locating device using x-ray with needle, first growth, Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066), Diagnostic mammography of 1 breast, Diagnostic mammography of 1 breast, Diagnostic mammography of both breasts, Diagnostic mammography of both breasts, Dxa bone density measurement of hip, pelvis, spine, Injection, gadoteridol, (prohance multipack), per ml, Limited ultrasound scan of 1 breast, Limited ultrasound scan of 1 breast, Mri scan of both breasts, Mri scan of both breasts, Screening 3d breast mammography, Screening mammography and Screening mammography.

The practitioner is affiliated to the following hospital(s): INOVA ALEXANDRIA HOSPITAL, INOVA LOUDOUN HOSPITAL, INOVA FAIRFAX HOSPITAL, INOVA FAIR OAKS HOSPITAL and INOVA MOUNT VERNON HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on February 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.