Individual provider Active NPI

Dariush Liske-Doorandish II, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Crownsville, MD
National Provider Identifier
1154717783
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
ME157596 Issued in FL
Practice address
1332 Waterbury Rd
Crownsville, MD 21032-1410
Phone
(540) 392-4564
NPI assigned
Apr 10, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X D0085923 MD
Internal Medicine Physician 207R00000X D85923 MD
Nephrology Physician 207RN0300X MMD84105 SC
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME157596 FL Primary

Addresses

Primary practice location

1332 Waterbury Rd
Crownsville, MD 21032-1410

Mailing address

1332 Waterbury Rd
Crownsville, MD 21032-1410
Phone (540) 392-4564

Other names 1

  • Mr. Dariush Doorandish II Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20260513003172 MI Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 3274839246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists)
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8117 Preston Rd
Suite 800
Dallas, TX 75225-6372

PO Box
Suite 25016
Dallas, TX 75225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0085923MDMDInternal Medicine Physician
ME157596FLMDCritical Care Medicine (Internal Medicine) Physician
MMD84105SCMDNephrology Physician

Interoperability endpoints

  • Direct secure messaging: dliskedoorandish691076@adventhealth.direct-ci.com

Organizations & group practices 1

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": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1154717783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1332 WATERBURY RD",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210321410",
            "telephone_number": "540-392-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1332 WATERBURY RD",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210321410",
            "telephone_number": "540-392-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISKE-DOORANDISH",
        "first_name": "DARIUSH",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-10",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0085923",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D85923",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "MMD84105",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME157596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARIUSH",
            "last_name": "DOORANDISH",
            "prefix": "MR.",
            "suffix": "II",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Crownsville, MD

Sources for this page

Verify at the official NPI Registry.