Individual provider Active NPI

Fariba Azizinamini, D.P.M

  • Foot Surgery Podiatrist
  • Rockville, MD
National Provider Identifier
1275528879
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
01315 Issued in MD
Practice address
10110 Molecular Dr Ste 114
Rockville, MD 20850-7538
Phone
(301) 780-4745
Fax
(301) 605-7550
NPI assigned
Sep 20, 2005
Last updated
Apr 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 01315 MD Primary

Addresses

Primary practice location

10110 Molecular Dr Ste 114
Rockville, MD 20850-7538

Mailing address

10110 Molecular Dr Ste 114
Rockville, MD 20850-7538
Phone (301) 780-4745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050122000009 DC Practitioner - Podiatry 1557319753 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Maryland Medical Group IncGroup PAC ID 1052788114, 11 clinicians

Practice addresses (Care Compare)

10110 Molecular Dr
Suite 114
Rockville, MD 20850-7538
Phone (301) 780-4745

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Medical Group, Inc Foot Surgery CurrentSince Nov 1, 2022 Accepting new patients
Montgomery Medical Associates, P.C. CurrentSince Apr 1, 2010 Accepting new patients
Camilleri Medical Center LTD Foot Surgery PastSince Jan 1, 1999 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

201 Russell Ave
Gaithersburg, MD 20877
Phone (301) 216-4157

10110 Molecular Dr
Ste 114
Rockville, MD 20850
Phone (301) 780-4745

10110 Molecular Dr
Ste 206
Rockville, MD 20850
Phone (301) 279-2779

Interoperability endpoints

  • Direct secure messaging: drazizinamini@montgomerymedical.gwaydirect.com
  • Direct secure messaging: farbia.azizinamini@mmgi.gwaydirect.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.519005
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.608025

Organizations & group practices 4

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1275528879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10110 MOLECULAR DR STE 114",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208507538",
            "telephone_number": "301-780-4745",
            "fax_number": "301-605-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 MOLECULAR DR STE 114",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208507538",
            "telephone_number": "301-780-4745",
            "fax_number": "301-605-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZIZINAMINI",
        "first_name": "FARIBA",
        "name_prefix": "Dr.",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MD",
            "license": "01315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.