Individual provider Active NPI

Amir R Moinfar, MD

  • Orthopaedic Surgery Physician
  • Glen Burnie, MD
National Provider Identifier
1043292279
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
D0062913 Issued in MD
Practice address
1413 Madison Park Dr FL 2
Glen Burnie, MD 21061-5613
Phone
(410) 691-3571
Fax
(410) 691-3591
NPI assigned
Nov 15, 2005
Last updated
Apr 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X D0062913 MD Primary

Addresses

Primary practice location

1413 Madison Park Dr FL 2
Glen Burnie, MD 21061-5613

Mailing address

1413 Madison Park Dr FL 2
Glen Burnie, MD 21061-5613
Phone (410) 691-3571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20051020000114 MD Practitioner - Orthopedic Surgery 0749206621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Georgetown University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Orthopaedic and Musculoskeletal Center, LLCGroup PAC ID 7315123890, 3 clinicians

Practice addresses (Care Compare)

1413 Madison Park Dr
FL 2
Glen Burnie, MD 21061-6355
Phone (410) 691-3571

Merit-based Incentive Payment System (MIPS)

Final score
88.66 of 100Reported as individual
Quality
91.38
Promoting interoperability
78
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Orthopaedic & Musculoskeletal Center, LLC Orthopaedic Surgery CurrentSince May 1, 2011 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1413 Madison Park Dr
Glen Burnie, MD 21061
Phone (410) 691-3571

1413 Madison Park Dr
Fl 2
Glen Burnie, MD 21061
Phone (410) 590-0015

203 Hospital Dr
Ste 204
Glen Burnie, MD 21061
Phone (410) 691-3571

Interoperability endpoints

  • Direct secure messaging: amoinfar22962@direct.umm.edu
  • FHIR API: https://fhir4.healow.com/fhir/r4/ADADBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/ADADBA/Endpoint/ADADBA

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": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1043292279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 MADISON PARK DR FL 2",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615613",
            "telephone_number": "410-691-3571",
            "fax_number": "410-691-3591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 MADISON PARK DR FL 2",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615613",
            "telephone_number": "410-691-3571",
            "fax_number": "410-691-3591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOINFAR",
        "first_name": "AMIR",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D0062913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.