Individual provider Active NPI

Farhad Aliabadi, M.D.

  • Pediatrics Physician
  • Crofton, MD
National Provider Identifier
1225069701
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0029893 Issued in MD
Practice address
2225 Defense Hwy Ste E
Crofton, MD 21114-2468
Phone
(410) 721-2273
Fax
(443) 332-4265
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0029893 MD Primary

Addresses

Primary practice location

2225 Defense Hwy Ste E
Crofton, MD 21114-2468

Mailing address

10011 Dickens Ave
Bethesda, MD 20814-2107
Phone (410) 721-2273

Other identifiers 1

IdentifierTypeStateIssuer
351101400MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0029893MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
Family Urgent Care, LLC Past Accepting new patients
The Pediatric Group, LLP Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: farhad.aliabadi@tpedgrp.eclinicaldirectplus.com

Organizations & group practices 3

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357516800000",
    "number": "1225069701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10011 DICKENS AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142107",
            "telephone_number": "410-721-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 DEFENSE HWY STE E",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142468",
            "telephone_number": "410-721-2273",
            "fax_number": "443-332-4265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIABADI",
        "first_name": "FARHAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2013-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0029893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351101400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crofton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.