Active NPI
Esmail Masoudpour, MD
- Orthopaedic Surgery Physician
- Greenbelt, MD
National Provider Identifier
1275559304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- D12815
- Practice address
- 7211 Hanover Pkwy
Suite a
Greenbelt, MD 20770 - Phone
- (301) 220-3000
- Fax
- (301) 220-3005
- NPI assigned
- Jul 14, 2006
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | D12815 | MD | Primary |
Addresses
Primary practice location
7211 Hanover Pkwy
Suite a
Greenbelt, MD 20770
Mailing address
7211 Hanover Pkwy
Suite a
Greenbelt, MD 20770
Phone (301) 220-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 404491600 | Medicaid | MD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D12815 | MD | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
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.
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355184000000",
"number": "1275559304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7211 HANOVER PKWY",
"address_2": "SUITE A",
"city": "GREENBELT",
"state": "MD",
"postal_code": "20770",
"telephone_number": "301-220-3000",
"fax_number": "301-220-3005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7211 HANOVER PKWY",
"address_2": "SUITE A",
"city": "GREENBELT",
"state": "MD",
"postal_code": "20770",
"telephone_number": "301-220-3000",
"fax_number": "301-220-3005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASOUDPOUR",
"first_name": "ESMAIL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2012-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MD",
"license": "D12815",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "404491600",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greenbelt, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.