Panteha Tamjidi, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD0354490 Issued in DC

Practice address

5454 Wisconsin Ave
Suite 1045
Chevy Chase, MD 20815-6917

Phone

(301) 652-4828

Fax

(301) 652-2070

NPI assigned

Aug 5, 2006

Last updated

Mar 5, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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

Dermatology

Education

George Washington University School of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pantea Tamjidi MD PCGroup PAC ID 0547276255, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

80.87 of 100Reported as individual

Quality

61.73

Improvement activities

40

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pantea Tamjidi MD PC

  • Procedural Dermatology Physician
  • Chevy Chase, MD
  • NPI 1841489804

  DC

  Medicare reassignment Care Compare group NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

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

  • Gastroenterology Physician
  • Washington, DC
  • NPI 1427384619
  NPD (past)

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1104835354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211A TOWLSTON RD",
            "city": "GREAT FALLS",
            "state": "VA",
            "postal_code": "220662216",
            "telephone_number": "703-759-1121",
            "fax_number": "703-356-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 WISCONSIN AVE",
            "address_2": "SUITE 1045",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156917",
            "telephone_number": "301-652-4828",
            "fax_number": "301-652-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMJIDI",
        "first_name": "PANTEHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101231459",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0063624",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "DC",
            "license": "MD0354490",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "MD",
            "license": "D0063624",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emee Ta, MD
• Mary Tabakin, DO
• Fumie Takahashi, PT
• Barry Steven Talesnick, M.D.
• Tamara Mendez OD LLC
• Mary Anne Toledo Tamula, MA
• Amina Tamzali Michael, LAC., M.A.O.M
• Lauren Stephanie Taney, M.D.
• Cortney Elizabeth Tanner, PA-C
• Eric Taswell, M.D.

• Dermatology Physician in Chevy Chase, MD
• Providers in Chevy Chase, MD by specialty
• Dermatology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; 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.