NPIMap

Organization Active NPI

Oxon Hill Primary Medicine PC

  • Family Medicine Physician
  • Oxon Hill, MD
National Provider Identifier
1043689201
Registry record updated Sep 23, 2015
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Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0070134 Issued in MD
Legal business name
OXON HILL PRIMARY MEDICINE PC
Practice address
6196 Oxon Hill Rd
Suite 250
Oxon Hill, MD 20745-3100
Phone
(301) 567-8880
NPI assigned
Sep 17, 2015
Organization subpart
Yes
Parent organization
PRIMARY MEDICINE MANAGEMENT LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 23, 2015

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

Authorized official

Name
Dr. Kaveh Sadeghi, MD
Title
Owner
Phone
(301) 498-9495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X D0070134 MD Primary

Addresses

Primary practice location

6196 Oxon Hill Rd
Suite 250
Oxon Hill, MD 20745-3100

Mailing address

PO Box 2510
Laurel, MD 20709-2510
Phone (301) 498-9495

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442966400000",
    "number": "1043689201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2510",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207092510",
            "telephone_number": "301-498-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6196 OXON HILL RD",
            "address_2": "SUITE 250",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453100",
            "telephone_number": "301-567-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OXON HILL PRIMARY MEDICINE PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIMARY MEDICINE MANAGEMENT LLC",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-23",
        "status": "A",
        "authorized_official_last_name": "SADEGHI",
        "authorized_official_first_name": "KAVEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-498-9495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0070134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxon Hill, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.