Kioumarce Yazdani, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

D0017168 Issued in MD

Practice address

2555 Solomons Island Rd
Huntingtown, MD 20639-8734

Phone

(410) 535-1695

Fax

(410) 535-8684

NPI assigned

Sep 7, 2005

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 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 1967

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mandk Yazdani PAGroup PAC ID 0345425104, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Calverthealth Medical Center Hospital, Prince Frederick, MD, CCN 210039

Merit-based Incentive Payment System (MIPS)

Final score

24.72 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

82.41

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• M & K Yazdani P a

  • Specialist
  • Huntingtown, MD
  • NPI 1679778336
  Medicare reassignment Care Compare group NPD Authorized official
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

• Calverthealth Medical Center, Inc.

  • General Acute Care Hospital
  • Prince Frederick, MD
  • NPI 1457389298
  Care Compare affiliation

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216857600000",
    "number": "1104810175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "HUNTINGTOWN",
            "state": "MD",
            "postal_code": "206390070",
            "telephone_number": "410-535-1695",
            "fax_number": "410-535-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 SOLOMONS ISLAND RD",
            "city": "HUNTINGTOWN",
            "state": "MD",
            "postal_code": "206398734",
            "telephone_number": "410-535-1695",
            "fax_number": "410-535-8684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAZDANI",
        "first_name": "KIOUMARCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2008-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0017168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS MD",
            "identifier": "76450001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM CHOICE",
            "identifier": "219077",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110023678",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynn Ruth Treadway, LCPC
• Wayne K Knoll, DPM
• Maria H Whedbee, LCSW-C, LGSW
• Lauren Kathleen White, MOT, OTR/L
• Linda Anne Wilbanks, LCSW-C
• Mahin S Yazdani, M.D.
• Zahir Yousaf, MD
• Amir Zahir, M.D.

• Cardiovascular Disease Physician in Huntingtown, MD
• Providers in Huntingtown, MD by specialty
• Cardiovascular Disease Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.