Individual provider Active NPI

Bijan Bahmanyar, M.D., F.A.C.S.

  • Specialist
  • Greenbelt, MD
National Provider Identifier
1013900992
Registry record updated Aug 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D28759 Issued in MD
Practice address
7311 Hanover Pkwy
Suite B
Greenbelt, MD 20770-2033
Phone
(301) 345-6222
Fax
(301) 345-4130
NPI assigned
Aug 25, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D28759 MD Primary

Addresses

Primary practice location

7311 Hanover Pkwy
Suite B
Greenbelt, MD 20770-2033

Mailing address

PO Box 254
Greenbelt, MD 20768-0254
Phone (301) 345-6222

Other identifiers 1

IdentifierTypeStateIssuer
442921400MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120806000085 DC Practitioner - General Practice 7315193570 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Community Surgical Practice,Inc CurrentSince Apr 21, 2012 Accepting new patients
Dimensions Health Associates Dba University of Maryland Capital Region PastSince Jan 1, 2021 Accepting new patients
Dimensions Health Corporation Past Accepting new patients

Locations

7311 Hanover Pkwy
Ste B
Greenbelt, MD 20770
Phone (301) 345-6222

Interoperability endpoints

  • Direct secure messaging: bbahmanyar115917@direct.aahs.org
  • Direct secure messaging: bbahmanyar801408@direct.umm.edu

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1976
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7311 Hanover Pkwy
Suite B
Greenbelt, MD 20770-2033
Phone (301) 345-6222

7311 Hanover Pkwy B
Greenbelt, MD 20770-2033

Hospital & facility affiliations

  • University of MD Capital Region Medical Center Hospital, Upper Marlboro, MD, CCN 210003

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Mastectomy1-10
Removal of tissue1-10

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786147200000",
    "number": "1013900992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 254",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207680254",
            "telephone_number": "301-345-6222",
            "fax_number": "301-345-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7311 HANOVER PKWY",
            "address_2": "SUITE B",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702033",
            "telephone_number": "301-345-6222",
            "fax_number": "301-345-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAHMANYAR",
        "first_name": "BIJAN",
        "name_prefix": "Dr.",
        "credential": "M.D., F.A.C.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2026-08-08",
        "certification_date": "2026-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D28759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "442921400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.