Individual provider Active NPI

Sepideh Nassabeh, MD

  • Neonatal-Perinatal Medicine Physician
  • Cheverly, MD
National Provider Identifier
1275549081
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
MD035279 Issued in DC
Practice address
3001 Hospital Drive
Neonatal Intensive Care Unit, Prince Georges Hospital
Cheverly, MD 20785
Phone
(301) 618-2000
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X MD035279 DC Primary

Addresses

Primary practice location

3001 Hospital Drive
Neonatal Intensive Care Unit, Prince Georges Hospital
Cheverly, MD 20785

Mailing address

3001 Hospital Drive
Cheverly, MD 20785
Phone (301) 618-2000

Other names 1

  • Sepideh Montazami Former name

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070226000590 DC Practitioner - Pediatric Medicine 8527160340 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Nov 14, 2022 Accepting new patients
MGMC, LLC CurrentSince Nov 14, 2022 Accepting new patients
St. Agnes Healthcare, Inc. Past Accepting new patients

Locations

5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

Interoperability endpoints

  • Direct secure messaging: smontazami53215@direct.hopkinsmedicine.org

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1275549081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 HOSPITAL DRIVE",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "20785",
            "telephone_number": "301-618-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 HOSPITAL DRIVE",
            "address_2": "NEONATAL INTENSIVE CARE UNIT, PRINCE GEORGES HOSPITAL",
            "city": "CHEVERLY",
            "state": "MD",
            "postal_code": "20785",
            "telephone_number": "301-618-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSABEH",
        "first_name": "SEPIDEH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "DC",
            "license": "MD035279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SEPIDEH",
            "last_name": "MONTAZAMI",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cheverly, MD

Sources for this page

Verify at the official NPI Registry.