Individual provider Active NPI

Kaveh Sadeghi, MD

  • Family Medicine Physician
  • Laurel, MD
National Provider Identifier
1073832044
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0070134 Issued in MD
Practice address
14113 Baltimore Ave Ste a
Laurel, MD 20707
Phone
(013) 498-9494
Fax
(301) 498-6301
NPI assigned
May 28, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101246824 VA
Family Medicine Physician 207Q00000X D0070134 MD Primary

Addresses

Primary practice location

14113 Baltimore Ave Ste a
Laurel, MD 20707

Mailing address

PO Box 2510
Laurel, MD 20709-2510
Phone (301) 498-9494

Other practice location 1

6196 Oxon Hill Rd Ste 430
Oxon Hill, MD 20745-3127
Phone (301) 567-8880

Other practice location 2

7243 Hanover Pkwy Ste B
Greenbelt, MD 20770-3605
Phone (301) 459-8108

Other practice location 3

1302 Cronson Blvd Ste E
Crofton, MD 21114-2064
Phone (410) 451-1301

Other practice location 4

19 Walker Ave Ste 102
Pikesville, MD 21208-4075
Phone (410) 653-2290

Other practice location 5

7301 E Furnace Branch Rd Ste B
Glen Burnie, MD 21060-7059
Phone (107) 665-1364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101130000499 DC Practitioner - Family PracticePractitioner - General SurgeryPractitioner - Internal Medicine 3375739527 Reassigns benefits to 1 organization
I20180926003011 MD Practitioner - Internal Medicine 3375739527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Surgery, Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Medicine LLCGroup PAC ID 6709001449, 7 clinicians

Practice addresses (Care Compare)

14113 Baltimore Ave
Suite a
Laurel, MD 20707-5073
Phone (301) 498-9494

19 Walker Ave
Suite 102
Pikesville, MD 21208-4075
Phone (410) 653-2290

Hospital & facility affiliations

  • Adventist Home Health Services, Inc. Home health agency, Silver Spring, MD, CCN 217032

Merit-based Incentive Payment System (MIPS)

Final score
86.22 of 100Reported as individual
Quality
75.99
Promoting interoperability
99
Improvement activities
40
Cost
66.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0070134MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Medicine LLC Family Medicine Past Accepting new patients
Primary Medicine LLC Family Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Primary Medicine LLC Family Medicine Past Accepting new patients
Primary Medicine LLC Family Medicine Past Accepting new patients
Primary Medicine LLC Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kaveh.sadeghi.1@32632.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1073832044",
    "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": "301-498-9494",
            "fax_number": "301-498-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14113 BALTIMORE AVE STE A",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "20707",
            "telephone_number": "013-498-9494",
            "fax_number": "301-498-6301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6196 Oxon Hill Rd Ste 430",
            "address_purpose": "LOCATION",
            "city": "Oxon Hill",
            "state": "MD",
            "postal_code": "207453127",
            "country_code": "US",
            "telephone_number": "301-567-8880",
            "fax_number": "301-839-7026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7243 Hanover Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Greenbelt",
            "state": "MD",
            "postal_code": "207703605",
            "country_code": "US",
            "telephone_number": "301-459-8108",
            "fax_number": "301-459-8108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1302 Cronson Blvd Ste E",
            "address_purpose": "LOCATION",
            "city": "Crofton",
            "state": "MD",
            "postal_code": "211142064",
            "country_code": "US",
            "telephone_number": "410-451-1301",
            "fax_number": "410-451-1037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 Walker Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Pikesville",
            "state": "MD",
            "postal_code": "212084075",
            "country_code": "US",
            "telephone_number": "410-653-2290",
            "fax_number": "410-653-8785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7301 E Furnace Branch Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210607059",
            "country_code": "US",
            "telephone_number": "107-665-1364",
            "fax_number": "410-766-5139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SADEGHI",
        "first_name": "KAVEH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-28",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101246824",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0070134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.