Active NPI
Amir Moghadam Ahmadi, MD
- Neurology Physician
- Bethesda, MD
National Provider Identifier
1285442996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- D0048447
- Practice address
- Building 10, Room 5N248, 10 Center Drive
Bethesda, MD 20892-0001 - Phone
- (240) 921-0616
- NPI assigned
- Dec 27, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | D0048447 | MD | Primary |
Addresses
Primary practice location
Building 10, Room 5N248, 10 Center Drive
Bethesda, MD 20892-0001
Mailing address
8300 Wisconsin Ave Apt 404
Bethesda, MD 20814-3192
Phone (267) 928-6693
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251203001820 | MD | Order and Referring Only - Neurology | 5597258079 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0048447 | MD | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735257600000",
"number": "1285442996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8300 WISCONSIN AVE APT 404",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208143192",
"telephone_number": "267-928-6693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BUILDING 10, ROOM 5N248, 10 CENTER DRIVE",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208920001",
"telephone_number": "240-921-0616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOGHADAM AHMADI",
"first_name": "AMIR",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-12-27",
"last_updated": "2024-12-27",
"certification_date": "2024-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MD",
"license": "D0048447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.