NPIMap

Individual provider Active NPI

Diana Weedman Molavi, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Baltimore, MD
National Provider Identifier
1215987334
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
D63948 Issued in MD
Practice address
2401 W Belvedere Ave
Suite 23
Baltimore, MD 21215-5216
Phone
(410) 601-5090
NPI assigned
May 11, 2006
Last updated
Nov 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 38179 ME
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD29484 ME
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X D63948 MD Primary

Addresses

Primary practice location

2401 W Belvedere Ave
Suite 23
Baltimore, MD 21215-5216

Mailing address

2401 W Belvedere Ave
Suite 23
Baltimore, MD 21215-5216
Phone (410) 601-5090

Other practice location 1

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 662-0111

Other identifiers 1

IdentifierTypeStateIssuer
1215987334MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, ME, NH3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20060622000093 MD Practitioner - Pathology 9234141870 Reassigns benefits to 1 organization
I20251124000030 ME Practitioner - Pathology 9234141870 Reassigns benefits to 2 organizations
I20251229000013 NH Practitioner - Pathology 9234141870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Healthcare Partners PAGroup PAC ID 7618871245, 305 clinicians

Practice addresses (Care Compare)

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 753-2251

3073 White Mountain Hwy
North Conway, NH 03860-7101
Phone (603) 356-5461

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.7 of 100Reported as group
Quality
75
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D63948MDMDAnatomic Pathology & Clinical Pathology Physician
MD29484MEMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chester River Health Center CurrentSince Sep 16, 2022 Accepting new patients
Spectrum Healthcare Partners, P.a. Anatomic Pathology & Clinical Pathology CurrentSince Jan 5, 2026 Accepting new patients
HCT Pathology Services LLC Current Accepting new patients
Chester River Hospital Center CurrentSince Sep 16, 2022 Accepting new patients
Laboratory Corporation of America Past Accepting new patients

Locations

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

100 Brown St
Chestertown, MD 21620
Phone (410) 778-3300

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

5 Alumni Dr
Exeter, NH 03833
Phone (603) 580-6339

3073 White Mountain Hwy
North Conway, NH 03860
Phone (603) 356-5472

Organizations & group practices 6

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.

Hospital & facility affiliations 41

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1215987334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W BELVEDERE AVE",
            "address_2": "SUITE 23",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155216",
            "telephone_number": "410-601-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W BELVEDERE AVE",
            "address_2": "SUITE 23",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212155216",
            "telephone_number": "410-601-5090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 Bramhall St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041023134",
            "country_code": "US",
            "telephone_number": "207-662-0111",
            "fax_number": "207-482-7898",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLAVI",
        "first_name": "DIANA",
        "middle_name": "WEEDMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "ME",
            "license": "38179",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "ME",
            "license": "MD29484",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MD",
            "license": "D63948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215987334",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.