Individual provider Active NPI

Sepehr Soltani, M.D.

  • Ophthalmology Physician
  • Oxon Hill, MD
National Provider Identifier
1215901525
Registry record updated May 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0033601 Issued in MD
Practice address
6188 Oxon Hill Rd Ste 401
Oxon Hill, MD 20745
Phone
(301) 567-4801
Fax
(301) 567-3002
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D0033601 MD Primary

Addresses

Primary practice location

6188 Oxon Hill Rd Ste 401
Oxon Hill, MD 20745

Mailing address

6188 Oxon Hill Rd Ste 401
Oxon Hill, MD 20745-3157
Phone (301) 567-4801

Other practice location 1

6192 Oxon Hill Rd
Suite 205
Oxon Hill, MD 20745-3114
Phone (301) 567-4801

Other identifiers 1

IdentifierTypeStateIssuer
405061400MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20091223000248 DC Practitioner - Ophthalmology 3476693458 Practice locations: Oxon Hill, MD

National Provider Directory

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25488/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527552000000",
    "number": "1215901525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6188 OXON HILL RD STE 401",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453157",
            "telephone_number": "301-567-4801",
            "fax_number": "301-567-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6188 OXON HILL RD STE 401",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "20745",
            "telephone_number": "301-567-4801",
            "fax_number": "301-567-3002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6192 Oxon Hill Rd",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "Oxon Hill",
            "state": "MD",
            "postal_code": "207453114",
            "country_code": "US",
            "telephone_number": "301-567-4801",
            "fax_number": "301-567-3002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLTANI",
        "first_name": "SEPEHR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2018-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0033601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405061400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxon Hill, MD

Sources for this page

Verify at the official NPI Registry.