Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kourosh Dibadj, MD

Individual provider Nephrology Physician · NPI 1487716593

Dr. Kourosh Dibadj, MD is a Nephrology in Fairfax, Virginia. Qualified in 1995, 31 years ago. Practices with Nephrology Associates of Northern Virginia Inc, a 15-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
31
Licensed in
VA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

13135 Lee Jackson Memorial Hwy 135
Fairfax, VA 22033-1907
Phone: (703) 961-0488
Fax: (703) 961-0480
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 0101241367 (VA)

Record details

NPI number1487716593
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 14, 2006
Last updated in NPPESAugust 11, 2016
Mailing address13135 Lee Jackson Memorial Hwy, 135, Fairfax, VA 22033-1907

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Nephrology Associates Of Northern Virginia Inc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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