Individual provider Active NPI

Mariam Nejati, MD

  • Family Medicine Physician
  • Frederick, MD
National Provider Identifier
1285098574
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0088067 Issued in MD
Practice address
9093 Ridgefield Dr
Frederick, MD 21701-6710
Phone
(301) 682-4100
NPI assigned
Apr 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X D0088067 MD Primary
Student in an Organized Health Care Education/Training Program 390200000X 218831 NC

Addresses

Primary practice location

9093 Ridgefield Dr
Frederick, MD 21701-6710

Mailing address

2131 S 17TH St
Wilmington, NC 28401-7407

Other practice location 1

2131 S 17th St
Wilmington, NC 28401-7407
Phone (910) 343-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20191105001989 MD Practitioner - Family Practice 2860783347 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Care Center LLCGroup PAC ID 3274801139, 286 clinicians
Amber Hill Physical Therapy IncGroup PAC ID 8527963917, 336 clinicians

Practice addresses (Care Compare)

10230 Silverside St
Ijamsville, MD 21754-9165
Phone (301) 682-4100

110 Baughmans LN
Suite 140
Frederick, MD 21702-4649
Phone (240) 215-1138

187 Thomas Johnson Dr
Suite 6
Frederick, MD 21702-4503

610 9TH Ave
Brunswick, MD 21716-1828
Phone (301) 682-5500

610 Solarex CT
Frederick, MD 21703-8624
Phone (301) 682-5500

Hospital & facility affiliations

  • Frederick Health Home Care Home health agency, Frederick, MD, CCN 217034
  • Frederick Health Hospice Hospice, Frederick, MD, CCN 211516
  • Frederick Health Hospital Hospital, Frederick, MD, CCN 210005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0088067MDMDFamily Medicine Physician
218831NCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Sep 11, 2019 Accepting new patients
Menocal Medical Services PA Single Specialty Current Accepting new patients
Privia Care Center LLC Single Specialty Current Accepting new patients
Privia Care Center LLC Single Specialty CurrentSince Sep 11, 2019 Accepting new patients
Privia Medical Group, LLC Single Specialty CurrentSince Sep 11, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Nova Physician Wellness Center PLLC Single Specialty Past Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

9093 Ridgefield Dr
Ste 104
Frederick, MD 21701
Phone (240) 913-5950

110 Baughmans Ln
Ste 140
Frederick, MD 21702
Phone (240) 215-1138

10260 Silverside St
Ste 100
Ijamsville, MD 21754
Phone (301) 682-4100

10260 Silverside St
Ijamsville, MD 21754
Phone (301) 682-4100

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mariam.nejati.1@8042.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 3

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": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1285098574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 S 17TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9093 RIDGEFIELD DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016710",
            "telephone_number": "301-682-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2131 S 17th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017407",
            "country_code": "US",
            "telephone_number": "910-343-7000",
            "fax_number": "910-667-5650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEJATI",
        "first_name": "MARIAM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0088067",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "218831",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.