Individual provider Active NPI

Homayoon Moghbeli, M.D.

  • Specialist
  • Baltimore, MD
National Provider Identifier
1235118381
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D17720 Issued in MD
Practice address
1421 S Caton Ave Ste 101
Baltimore, MD 21227-1029
Phone
(410) 646-5055
Fax
(410) 646-5058
NPI assigned
Jan 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D17720 MD Primary

Addresses

Primary practice location

1421 S Caton Ave Ste 101
Baltimore, MD 21227-1029

Mailing address

8725 Loch Raven Blvd
Ste 200
Towson, MD 21286-2207
Phone (410) 882-3459

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Medical Center, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Maiden Choice Cardiac Diagnostic Center PastSince Jun 29, 2010 Accepting new patients
Surgical Associates of Annapolis, LLC PastSince Nov 12, 2025 Accepting new patients
Maiden Choice Nuclear Imaging Center PastSince Jun 29, 2010 Accepting new patients

Organizations & group practices 5

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": "1137369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1235118381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8725 LOCH RAVEN BLVD",
            "address_2": "STE 200",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862207",
            "telephone_number": "410-882-3459",
            "fax_number": "410-882-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 S CATON AVE STE 101",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212271029",
            "telephone_number": "410-646-5055",
            "fax_number": "410-646-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGHBELI",
        "first_name": "HOMAYOON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-16",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D17720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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.