Active NPI
Dariush Liske-Doorandish II, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Crownsville, MD
National Provider Identifier
1154717783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- ME157596
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260513003172 | MI | Practitioner - Internal Medicine | 3274839246 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| D0085923 | MD | MD | Internal Medicine Physician |
| ME157596 | FL | MD | Critical Care Medicine (Internal Medicine) Physician |
| MMD84105 | SC | MD | Nephrology Physician |
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.