Active NPI
Mariam Nejati, MD
- Family Medicine Physician
- Frederick, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D0088067
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
Enrollment records 1
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
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
- Frederick Health Hospice
- Frederick Health Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0088067 | MD | MD | Family Medicine Physician |
| 218831 | NC | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current | 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 | Current | Accepting new patients |
| Privia Medical Group, LLC | Single Specialty | Current | 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
- https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4
- 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.
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1164874426
MD, Single Specialty
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1013042480
MD, Single Specialty
-
- Physical Therapist
- Frederick, MD
- NPI 1548290224
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Family Medicine Physician
- Fairfax, VA
- NPI 1215307400
Single Specialty
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Frederick, MD
- NPI 1205832268
-
- Home Health Agency
- Frederick, MD
- NPI 1306842174
-
- 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": "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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.