Individual provider Active NPI

Mohammad Yousefi, D.C.

  • Chiropractor
  • Silver Spring, MD
National Provider Identifier
1083834832
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S01513 Issued in MD
Practice address
9200 Colesville Rd
Silver Spring, MD 20910-1656
Phone
(301) 585-3200
Fax
(301) 589-2394
NPI assigned
Apr 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S01513 MD Primary

Addresses

Primary practice location

9200 Colesville Rd
Silver Spring, MD 20910-1656

Mailing address

9200 Colesville Rd
Silver Spring, MD 20910-1656
Phone (301) 585-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110718000485 DC Practitioner - Chiropractic 1557301843 Reassigns benefits to 1 organization
I20110817000188 VA Practitioner - Chiropractic 1557301843 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ashburn Chiropractic & Rehab Center, P.C. Chiropractor CurrentSince Jul 24, 2011 Accepting new patients
Capital Sport Injury Center, PC Chiropractor CurrentSince Aug 27, 2014 Accepting new patients

Locations

12041 Bournefield Way
Ste C
Silver Spring, MD 20904
Phone (301) 622-9000

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": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083834832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 COLESVILLE RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101656",
            "telephone_number": "301-585-3200",
            "fax_number": "301-589-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 COLESVILLE RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101656",
            "telephone_number": "301-585-3200",
            "fax_number": "301-589-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUSEFI",
        "first_name": "MOHAMMAD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S01513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.