Individual provider Active NPI

Manouchehr Ataei, PA-C

  • Physician Assistant
  • Laurel, MD
National Provider Identifier
1083154389
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0006284 Issued in MD
Practice address
3357B Corridor Marketplace
Laurel, MD 20724-2381
Phone
(301) 497-1820
NPI assigned
Mar 6, 2017
Last updated
Jun 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0006284 MD Primary

Addresses

Primary practice location

3357B Corridor Marketplace
Laurel, MD 20724-2381

Mailing address

700 Geipe Rd Ste 200
Catonsville, MD 21228-4176
Phone (410) 744-0661

Other practice location 1

700 Geipe Road
Suite 200
Catonsville, MD 21228
Phone (410) 744-0661

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MDExhcange@patientfirst.com Health Information Exchange (HIE)

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190910000258 MD Practitioner - Physician Assistant 0547599078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patient First Maryland Medical Group PLLCGroup PAC ID 4385538735, shared by 26 NPIs, 258 clinicians

Practice addresses (Care Compare)

10210 Reisterstown Rd
Owings Mills, MD 21117-3606
Phone (410) 902-6776

1110 Annapolis Rd
Odenton, MD 21113-1602
Phone (443) 351-3917

2051 W St
Annapolis, MD 21401-3006
Phone (443) 603-0758

6100 Dobbin Rd
Suite a
Columbia, MD 21045-5804
Phone (443) 354-3772

8206 Georgia Ave
Silver Spring, MD 20910-4519
Phone (301) 960-4682

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0006284MDMDPhysician Assistant

Organizations & group practices 1

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": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1083154389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 GEIPE RD STE 200",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284176",
            "telephone_number": "410-744-0661",
            "fax_number": "410-744-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3357B CORRIDOR MARKETPLACE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207242381",
            "telephone_number": "301-497-1820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Geipe Road",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Catonsville",
            "state": "MD",
            "postal_code": "21228",
            "country_code": "US",
            "telephone_number": "410-744-0661",
            "fax_number": "410-744-8036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATAEI",
        "first_name": "MANOUCHEHR",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-06",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0006284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MDExhcange@patientfirst.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3357B Corridor Marketplace",
            "city": "Laurel",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207242381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

Verify at the official NPI Registry.