Individual provider Active NPI

Christopher Mehdizadeh, FNP-C

  • Family Nurse Practitioner
  • Baltimore, MD
National Provider Identifier
1073035127
Registry record updated Sep 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F07170111 Issued in MD
Practice address
2323 Orleans St
Baltimore, MD 21224-1020
Phone
(410) 558-4747
NPI assigned
Jul 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F07170111 MD Primary

Addresses

Primary practice location

2323 Orleans St
Baltimore, MD 21224-1020

Mailing address

2323 Orleans St
Baltimore, MD 21224
Phone (410) 558-4770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, VA, FL, DC, PA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20171004000641 MD Practitioner - Nurse Practitioner 2365717121 Reassigns benefits to 1 organization
I20220411001728 VA Practitioner - Nurse Practitioner 2365717121 Reassigns benefits to 1 organization
I20230315001326 FL Practitioner - Nurse Practitioner 2365717121 Reassigns benefits to 1 organization
I20230405002826 DC Practitioner - Nurse Practitioner 2365717121 Reassigns benefits to 1 organization
I20231118000503 PA Practitioner - Nurse Practitioner 2365717121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ophelia Medical Group FL PAGroup PAC ID 7810398534, 103 clinicians

Practice addresses (Care Compare)

161 Cecil B Moore Ave
Apt 204
Philadelphia, PA 19122-3243
Phone (215) 585-2144

1638 R St NW
Suite 214
Washington, DC 20009-6480
Phone (215) 585-2144

1644 Annapolis Rd
Suite 4
Odenton, MD 21113-1002
Phone (215) 585-2144

464 Herndon Pkwy
Suite 216
Herndon, VA 20170-5200
Phone (215) 585-2144

801 W Bay Dr
Suite 408
Largo, FL 33770-3220
Phone (215) 585-2144

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F07170111MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ophelia Medical Group, P.C. CurrentSince Oct 31, 2023 Accepting new patients
Ophelia Medical Group FL, P.a. CurrentSince Oct 15, 2021 Accepting new patients

Locations

1638 R St NW
Washington, DC 20009
Phone (202) 265-7979

1638 R St NW
Ste 214
Washington, DC 20009

801 West Bay Dr
Ste 408
Largo, FL 33770

1644 Annapolis Rd
Ste 4
Odenton, MD 21113
Phone (240) 743-0343

228 Park Ave S
New York, NY 10003
Phone (215) 588-2144

464 Herndon Pkwy
Ste 216
Herndon, VA 20170
Phone (703) 409-1224

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505779200000",
    "number": "1073035127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 ORLEANS ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21224",
            "telephone_number": "410-558-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 ORLEANS ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212241020",
            "telephone_number": "410-558-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHDIZADEH",
        "first_name": "CHRISTOPHER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-11",
        "last_updated": "2017-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "F07170111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.