Organization Active NPI

M Michael Massumi, MD, PA

  • Medical Specialty Clinic/Center
  • Rockville, MD
National Provider Identifier
1124948542
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
M MICHAEL MASSUMI, MD, PA
Practice address
15201 Shady Grove Rd Ste 102
Rockville, MD 20850-3217
Phone
(410) 825-5905
Fax
(410) 825-7712
NPI assigned
Jul 16, 2026
Organization subpart
Yes
Parent organization
M. MICHAEL MASSUMI, M.D., P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
Dr. Mehrdad Michael Massumi, MDNPI 1407894975
Title
Owner/President
Phone
(410) 825-5905

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

15201 Shady Grove Rd Ste 102
Rockville, MD 20850-3217

Mailing address

15201 Shady Grove Rd Ste 102
Rockville, MD 20850-3217
Phone (410) 825-5905

National Provider Directory

National Provider Directory
Tax ID family
M Michael Massumi MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

15201 Shady Grove Rd
Ste 102
Rockville, MD 20850
Phone (301) 921-0009

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1784160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1124948542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15201 SHADY GROVE RD STE 102",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503217",
            "telephone_number": "410-825-5905",
            "fax_number": "410-825-7712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15201 SHADY GROVE RD STE 102",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503217",
            "telephone_number": "410-825-5905",
            "fax_number": "410-825-7712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M MICHAEL MASSUMI, MD, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "M. MICHAEL MASSUMI, M.D., P.A.",
        "enumeration_date": "2026-07-16",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "MASSUMI",
        "authorized_official_first_name": "MEHRDAD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "410-825-5905",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.