Active NPI
Pouya Mahmoudian Esfahani
- Chiropractor
- Wheaton, MD
National Provider Identifier
1245911478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- S04152
- Practice address
- 11263 Triangle LN
Wheaton, MD 20902-4635 - Phone
- (832) 686-7471
- NPI assigned
- Jul 31, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | S04152 | MD | Primary |
Addresses
Primary practice location
11263 Triangle LN
Wheaton, MD 20902-4635
Mailing address
2511 Glenallan Ave Apt 265
Silver Spring, MD 20906-3584
Phone (832) 686-7471
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11263 Triangle LN
Silver Spring, MD 20902-4635
Phone (240) 833-8169
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S04152 | MD | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Relief Chiropractic | Chiropractor | Current | Accepting new patients |
Locations
11263 Triangle Ln
Wheaton, MD 20902
Phone (240) 833-8169
Organizations & group practices 1
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": "1690761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1245911478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2511 GLENALLAN AVE APT 265",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209063584",
"telephone_number": "832-686-7471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11263 TRIANGLE LN",
"city": "WHEATON",
"state": "MD",
"postal_code": "209024635",
"telephone_number": "832-686-7471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHMOUDIAN ESFAHANI",
"first_name": "POUYA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-31",
"last_updated": "2023-07-31",
"certification_date": "2023-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MD",
"license": "S04152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheaton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.