Bahram Redjaee, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

D0039691 Issued in MD

Practice address

4467 Old Branch Ave
Suite 201
Temple Hills, MD 20748-1854

Phone

(301) 899-8900

Fax

(301) 899-2963

NPI assigned

Nov 2, 2005

Last updated

Nov 30, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Pulmonary Disease

Education

Emory University School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medstar Southern Maryland Hospital Center Hospital, Clinton, MD, CCN 210062

Merit-based Incentive Payment System (MIPS)

Final score

82.34 of 100Reported as group

Quality

67.9

Promoting interoperability

100

Improvement activities

40

Cost

69.47

Merit-based Incentive Payment System (MIPS)

Final score

24.88 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

82.93

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bahram.redjaee@pasmp-md.direct.office.nextgen.com

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.

• Medstar Medical Group II LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1184046187

  DC

  Medicare reassignment Care Compare group NPD
• Pulmonary and Sleep Medicine, PA

  • Specialist
  • Temple Hills, MD
  • NPI 1457531758

  DC

  Medicare reassignment NPD Authorized official
• Medstar Medical Group II LLC

  • Internal Medicine Physician
  • Washington, DC
  • NPI 1376887844
  NPD
• Creative Lifestyles Management Prog

  dba Laboratory For Sleep Disorders

  • Sleep Medicine (Internal Medicine) Physician
  • Waldorf, MD
  • NPI 1447430376
  NPD (past)
• Creative Lifestyles Management Prog

  dba Asthma/Allergy Center of Southern Maryland

  • Pulmonary Disease Physician
  • Clinton, MD
  • NPI 1871594846
  NPD (past)
• Kasra Adham MD

  • Specialist
  • Temple Hills, MD
  • NPI 1457823981
  NPD (past)
• Medstar Southern Maryland Physicians, LLC

  dba Waldorf ENT

  • Otolaryngology Physician
  • Waldorf, MD
  • NPI 1598060709
  NPD (past)
• Joseph M Molina MD Professional Corporation - Southern California

  dba Golden Shore Medical Group

  • Obstetrics & Gynecology Physician
  • Ontario, CA
  • NPI 1710478177
  NPD (past)
• Joseph M Molina MD Professional Corporation-Southern California

  • Family Medicine Physician
  • Wilmington, CA
  • NPI 1982976692
  NPD (past)

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

• Medstar Southern Maryland Hospital Center Inc

  dba MedStar Southern Maryland Hospital

  • General Acute Care Hospital
  • Clinton, MD
  • NPI 1366790693
  Care Compare affiliation

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1073504700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4467 OLD BRANCH AVE",
            "address_2": "SUITE 201",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481854",
            "telephone_number": "301-899-8900",
            "fax_number": "301-899-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4467 OLD BRANCH AVE",
            "address_2": "SUITE 201",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481854",
            "telephone_number": "301-899-8900",
            "fax_number": "301-899-2963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDJAEE",
        "first_name": "BAHRAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MD",
            "license": "D0039691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207600400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quadri-Technology LTD
• Qualis Home Health Services
• Steven Reddick
• Redefined Health and Wellness LLC
• Redefined Health and Wellness LLC
• Pamela H Reid, OD
• Rejuvenating Care LLC
• Renewed Behaviioral Health and Wellness
• Chinel Reuben, CRNP-PMH
• Laura L Reyes Vega

• Pulmonary Disease Physician in Temple Hills, MD
• Providers in Temple Hills, MD by specialty
• Pulmonary Disease Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.