Individual provider Active NPI

Bobak Robert Mozayeni, M.D.

  • Rheumatology Physician
  • Gaithersburg, MD
National Provider Identifier
1174677587
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
D42423 Issued in MD
Practice address
910 Clopper Road
Suite 220 South
Gaithersburg, MD 20878
Phone
(240) 221-0000
Fax
(240) 221-0441
NPI assigned
Jan 23, 2007
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D42423 MD
Rheumatology Physician 207RR0500X D42423 MD Primary

Addresses

Primary practice location

910 Clopper Road
Suite 220 South
Gaithersburg, MD 20878

Mailing address

910 Clopper Road
Suite 220 South
Gaithersburg, MD 20878
Phone (240) 221-0000

Other names 1

  • B. Robert Mozayeni Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 24, 2012 through Jul 24, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D42423MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
T Lab Inc CurrentSince Mar 24, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

910 Clopper Rd
Ste 220S
Gaithersburg, MD 20878
Phone (240) 221-0000

6000 Executive Blvd
Ste 304
Rockville, MD 20852
Phone (240) 221-0000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1174677587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 CLOPPER ROAD",
            "address_2": "SUITE 220 SOUTH",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "20878",
            "telephone_number": "240-221-0000",
            "fax_number": "240-221-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 CLOPPER ROAD",
            "address_2": "SUITE 220 SOUTH",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "20878",
            "telephone_number": "240-221-0000",
            "fax_number": "240-221-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOZAYENI",
        "first_name": "BOBAK",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D42423",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MD",
            "license": "D42423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "B.",
            "last_name": "MOZAYENI",
            "middle_name": "ROBERT",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.