Individual provider Active NPI

Danielle Azadeh Vaziri

  • Family Medicine Physician
  • Owings Mills, MD
National Provider Identifier
1134660384
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C0006416 Issued in MD
Practice address
10210 Reisterstown Rd
Owings Mills, MD 21117-3606
Phone
(410) 902-6776
Fax
(410) 902-6936
NPI assigned
Mar 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C0006416 MD Primary

Addresses

Primary practice location

10210 Reisterstown Rd
Owings Mills, MD 21117-3606

Mailing address

5000 Cox Rd
Glen Allen, VA 23060-9263
Phone (804) 968-5700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MDExchange@patientfirst.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170724000364 MD Practitioner - Physician Assistant 4880964980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patient First Maryland Medical Group PLLCGroup PAC ID 4385538735, 258 clinicians

Practice addresses (Care Compare)

10210 Reisterstown Rd
Owings Mills, MD 21117-3606
Phone (410) 902-6776

10755 Falls Rd
Suite 160
Lutherville, MD 21093-4588
Phone (410) 583-2777

1110 Annapolis Rd
Odenton, MD 21113-1602
Phone (443) 351-3917

560 W Macphail Rd
Bel Air, MD 21014-4320
Phone (410) 638-6480

5900 Cedar LN
Columbia, MD 21044-3635
Phone (443) 718-4067

7116 Ritchie Hwy
Glen Burnie, MD 21061-2904
Phone (443) 577-0277

8105 Ritchie Hwy
Pasadena, MD 21122-3905
Phone (443) 573-0564

950 York Rd
Towson, MD 21204-2513
Phone (410) 372-6373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0006416MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Patient First Maryland Medical Group, PLLC Family Medicine CurrentSince May 20, 2017 Accepting new patients
Patient First Maryland Medical Group PLLC Family Medicine CurrentSince Jul 26, 2017 Accepting new patients
Patient First Maryland Medical Group PLLC Family Medicine CurrentSince May 20, 2017 Accepting new patients

Locations

10210 Reisterstown Rd
Owings Mills, MD 21117
Phone (410) 902-6776

10210 Reisterstown Rd
#12302
Owings Mills, MD 21117
Phone (410) 902-6776

726 Rockville Pike
Rockville, MD 20852
Phone (240) 238-0411

2855 Crain Hwy
Waldorf, MD 20601
Phone (240) 427-1926

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1134660384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263",
            "telephone_number": "804-968-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10210 REISTERSTOWN RD",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173606",
            "telephone_number": "410-902-6776",
            "fax_number": "410-902-6936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZIRI",
        "first_name": "DANIELLE",
        "middle_name": "AZADEH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-20",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "C0006416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MDExchange@patientfirst.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "10210 Reisterstown Rd",
            "city": "Owings Mills",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211173606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.