Noushin Jazebi, MD

Primary specialty

Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X

License

BP20057918 Issued in TX

Practice address

BG 10-CRC RM 7-5680 MSC 1404 10 Center Drive
Bethesda, MD 20892-1404

Phone

(301) 496-5295

NPI assigned

May 29, 2015

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 PA, DC2 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 2

Specialty

Neurology

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Suburban/NRH Medical Rehabilitation IncGroup PAC ID 6507846771, 885 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medstar Montgomery Medical Center Hospital, Olney, MD, CCN 210018
• Medstar Georgetown University Hospital Hospital, Washington, DC, CCN 090004

Merit-based Incentive Payment System (MIPS)

Final score

82.97 of 100Reported as group

Quality

72.87

Promoting interoperability

100

Improvement activities

40

Cost

67.82

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.

• Medstar Medical Group II LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1184046187

  DC

  Medicare reassignment Care Compare group NPD
• Medstar Total Elder Care LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Washington, DC
  • NPI 1750752911
  Medicare reassignment NPD
• MGMC, LLC

  • General Practice Physician
  • Washington, DC
  • NPI 1891797148
  Medicare reassignment NPD
• Pinnacle Health Medical Services

  • Family Medicine Physician
  • Harrisburg, PA
  • NPI 1932143427

  Internal Medicine

  Medicare reassignment NPD
• Suburban/NRH Medical Rehabilitation Inc

  • Rehabilitation Clinic/Center
  • Bethesda, MD
  • NPI 1457354748
  Care Compare group
• Medstar Medical Group II LLC

  • General Practice Physician
  • White Plains, MD
  • NPI 1407559081
  NPD
• Medstar Medical Group II LLC

  • Anesthesiology Physician
  • Washington, DC
  • NPI 1023836137
  NPD
• Pinnacle Health Medical Services

  • Gastroenterology Physician
  • Mechanicsburg, PA
  • NPI 1295552073
  NPD
• Pinnacle Health Medical Services

  • Critical Care Medicine (Internal Medicine) Physician
  • Mechanicsburg, PA
  • NPI 1558738708
  NPD
• Medstar Georgetown Medical Center, Inc

  • Internal Medicine Physician
  • Washington, DC
  • NPI 1285636522
  NPD (past)
• Medstar Medical Group II LLC

  • Internal Medicine Physician
  • Washington, DC
  • NPI 1376887844
  NPD (past)

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

• Montgomery General Hospital, Inc.

  • General Acute Care Hospital
  • Olney, MD
  • NPI 1114922341
  Care Compare affiliation
• Medstar - Georgetown Medical Center, Inc.

  • General Acute Care Hospital
  • Washington, DC
  • NPI 1427145176
  Care Compare affiliation

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1114306677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BG 10-CRC RM 7-5680 MSC 1404 10 CENTER DRIVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208921404",
            "telephone_number": "301-496-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BG 10-CRC RM 7-5680 MSC 1404 10 CENTER DRIVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208921404",
            "telephone_number": "301-496-5295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2005 Technology Pkwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Mechanicsburg",
            "state": "PA",
            "postal_code": "170509413",
            "country_code": "US",
            "telephone_number": "717-791-2520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAZEBI",
        "first_name": "NOUSHIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-29",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "BP20057918",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "PA",
            "license": "MD468110",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10052633",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "TX",
            "license": "BP20057918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason M Goldberg, LCSW-C, LLC
• Jason M. Goldberg, LCSW-C
• Dharmvir Jaswal, M.D
• Jonathan C Javitt, M.D., M.P.H.
• Laurence Jaworski, MD
• Jean Ratner LCSW-C,LLC
• Neydric R Jean, MD
• Michael Cory Jecmen, M.AC., L.AC.
• Jamiere Amaya Jefferies
• Deonte Lamont Jefferson, DO

• Clinical Neurophysiology Physician in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Clinical Neurophysiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; 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.