OrganizationActive
Ageless M.D., LLC
NPI 1902153992 · Clinic/Center · Arlington, VA
Provider details
- NPI number
- 1902153992
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Shai Seyedan, Partner(703) 688-2468
- License
- 0101232169 (VA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2221 N Buchanan St
Arlington, VA 22207-2526
Phone: (703) 688-2468
Fax: (703) 859-7689
Street-level locationGet directions
Mailing address
2221 N Buchanan St
Arlington, VA 22207-2526
Registry dates
- Enumerated
- 2012-08-08
- Last updated
- 2015-10-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.