NPIMap

Organization Active NPI

Farhad Naseh MD PA

Doing business as Maryland Eye Institute

  • Ophthalmology Physician
  • Gaithersburg, MD
National Provider Identifier
1245254630
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0050523 Issued in MD
Legal business name
FARHAD NASEH MD PA
Doing business as
Maryland Eye Institute
Practice address
6 Montgomery Village Ave Ste 103
Gaithersburg, MD 20879-3530
Phone
(301) 840-2208
Fax
(301) 840-2210
NPI assigned
Jul 27, 2006
Last updated
Feb 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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

Authorized official

Name
Mr. Farhad Naseh, MDNPI 1710176763
Title
Owner Physician
Phone
(301) 840-2208

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D0050523 MD Primary

Addresses

Primary practice location

6 Montgomery Village Ave Ste 103
Gaithersburg, MD 20879-3530

Mailing address

6 Montgomery Village Ave Ste 103
Gaithersburg, MD 20879-3530
Phone (301) 840-2208

Other identifiers 2

IdentifierTypeStateIssuer
G02199F01OtherMDMEDICARE INDVIDUAL #
400768900MedicaidMD

Other names 1

  • Maryland Eye Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051214000369 DC Part B Supplier - Clinic/Group Practice 2769403013 Receives reassigned benefits from 7 practitioners
Practice locations: Gaithersburg, MD

National Provider Directory

National Provider Directory

Locations

6 Montgomery Village Ave
Ste 103
Gaithersburg, MD 20879
Phone (301) 840-2208

19211 Montgomery Village Ave
Ste B21
Montgomry Vlg, MD 20886
Phone (301) 840-2208

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549584000000",
    "number": "1245254630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MONTGOMERY VILLAGE AVE STE 103",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793530",
            "telephone_number": "301-840-2208",
            "fax_number": "301-840-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MONTGOMERY VILLAGE AVE STE 103",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793530",
            "telephone_number": "301-840-2208",
            "fax_number": "301-840-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARHAD NASEH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2019-02-08",
        "status": "A",
        "authorized_official_last_name": "NASEH",
        "authorized_official_first_name": "FARHAD",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "301-840-2208",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0050523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDVIDUAL #",
            "identifier": "G02199F01",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400768900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maryland Eye Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maryland Eye Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.