Individual provider Active NPI

Amir Baharloo

  • Foot & Ankle Surgery Podiatrist
  • Owings Mills, MD
National Provider Identifier
1023647245
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC007329 Issued in PA
Practice address
20 Crossroads Dr Ste 15
Owings Mills, MD 21117-5479
Phone
(410) 363-4343
Fax
(410) 356-6373
NPI assigned
Apr 8, 2020
Last updated
May 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X SC007329 PA Primary

Addresses

Primary practice location

20 Crossroads Dr Ste 15
Owings Mills, MD 21117-5479

Mailing address

20 Crossroads Dr Ste 15
Owings Mills, MD 21117-5479
Phone (410) 363-4343

Other practice location 1

10201 66th Rd
Forest Hills, NY 11375-2029
Phone (415) 606-5044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD, DC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230629002848 PA Practitioner - Podiatry 6608235221 Reassigns benefits to 1 organization
I20230707002261 MD Practitioner - Podiatry 6608235221 Reassigns benefits to 1 organization
I20250219000454 DC Practitioner - Podiatry 6608235221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nova Podiatry and Wound Care Center LLCGroup PAC ID 0345599478, 2 clinicians

Practice addresses (Care Compare)

1880 Howard Ave
Suite 203
Vienna, VA 22182-2611
Phone (703) 651-5850

5350 Shawnee Rd
Alexandria, VA 22312-2318
Phone (703) 651-5850

Merit-based Incentive Payment System (MIPS)

Final score
64.1 of 100Reported as group
Quality
44.28
Improvement activities
40
Cost
46.09

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue11
Removal of skin lesions1-10
Removal of nail tissue199
Removal or shaving of skin growth65
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC007329PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Podiatry and Wound Care Center LLC CurrentSince Jan 1, 2025 Accepting new patients
Wiener and Daniels, DPM, PA Foot & Ankle Surgery CurrentSince Jul 1, 2023 Accepting new patients

Locations

20 Crossroads Dr
Ste 15
Owings Mills, MD 21117
Phone (410) 235-2345

525 W Middle St
Gettysburg, PA 17325
Phone (717) 334-0125

5350 Shawnee Rd
Ste 110
Alexandria, VA 22312
Phone (703) 651-5850

1880 Howard Ave
Ste 203
Vienna, VA 22182
Phone (703) 651-5850

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1023647245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CROSSROADS DR STE 15",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175479",
            "telephone_number": "410-363-4343",
            "fax_number": "410-356-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CROSSROADS DR STE 15",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175479",
            "telephone_number": "410-363-4343",
            "fax_number": "410-356-6373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10201 66th Rd",
            "address_purpose": "LOCATION",
            "city": "Forest Hills",
            "state": "NY",
            "postal_code": "113752029",
            "country_code": "US",
            "telephone_number": "415-606-5044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAHARLOO",
        "first_name": "AMIR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-08",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC007329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.