Individual provider Active NPI

Arash Radfar, M.D.

  • Dermatopathology (Pathology) Physician
  • Baltimore, MD
National Provider Identifier
1093814394
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology (Pathology) PhysicianTaxonomy code 207ZD0900X
License
213833 Issued in MA
Practice address
419 W Redwood St
Suite 240
Baltimore, MD 21201-1734
Phone
(410) 328-5766
NPI assigned
Sep 22, 2006
Last updated
May 5, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X 213833 MA Primary

Addresses

Primary practice location

419 W Redwood St
Suite 240
Baltimore, MD 21201-1734

Mailing address

PO Box 64445
Baltimore, MD 21264-4445
Phone (410) 328-5767

Other identifiers 4

IdentifierTypeStateIssuer
416495401MedicaidMD
956595-01OtherMDCAREFIRST MARYLAND
690005454OtherRAILROAD MEDICARE PTAN
S045-0036OtherMDCAREFIRST REGIONAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, MD, DC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040610000360 MA Practitioner - Pathology 4789667809 Reassigns benefits to 2 organizations
I20091008000095 MD Practitioner - Pathology 4789667809 Reassigns benefits to 1 organization
I20131216000855 DC Practitioner - Dermatology 4789667809 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
213833MAMDDermatopathology (Pathology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Dermatology Group, LLC CurrentSince Aug 15, 2017 Accepting new patients
WHC Emerg Phys CurrentSince Oct 1, 2013 Accepting new patients
Tripoint Diagnostics CurrentSince Jul 7, 2014 Accepting new patients
Cohen Dermatopathology, P.C. Current Accepting new patients
Ali Hendi, MD, PC CurrentSince Jan 5, 2018 Accepting new patients
Pratt Pathology Associates, Inc CurrentSince May 18, 2022 Accepting new patients
WHC Physician Group LLC CurrentSince Oct 1, 2013 Accepting new patients
Cohen Dermatopathology, P.C. Current Accepting new patients
Integrated Dermatology Group, LLC CurrentSince Aug 15, 2017 Accepting new patients
Metroplex Pathology Associates CurrentSince Sep 17, 2018 Accepting new patients
Skin Pathology Laboratory, Inc. PastSince Dec 1, 2007 Accepting new patients

Locations

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

800 Washington St
#1
Boston, MA 02111

800 Washington St
#1013
Boston, MA 02111
Phone (617) 636-0491

15 Crawford St
Ste 100
Needham Heights, MA 02494
Phone (617) 969-4100

5454 Wisconsin Ave
Ste 725
Chevy Chase, MD 20815
Phone (301) 986-1006

5530 Wisconsin Ave
Ste 820
Chevy Chase, MD 20815
Phone (301) 652-8081

5850 Waterloo Rd
Ste 140
Columbia, MD 21045
Phone (301) 526-7249

6021 University Blvd
Ste 390
Ellicott City, MD 21043
Phone (410) 203-0607

1111 S Freeport Pkwy
Coppell, TX 75019
Phone (214) 277-8700

Organizations & group practices 11

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273017600000",
    "number": "1093814394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64445",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644445",
            "telephone_number": "410-328-5767",
            "fax_number": "410-328-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W REDWOOD ST",
            "address_2": "SUITE 240",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011734",
            "telephone_number": "410-328-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADFAR",
        "first_name": "ARASH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2010-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "MA",
            "license": "213833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "416495401",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MARYLAND",
            "identifier": "956595-01",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "690005454",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST REGIONAL",
            "identifier": "S045-0036",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.