Maryam M Nowroozi, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101233196 Issued in VA

Practice address

4106 Portsmouth Blvd
Portsmouth, VA 23701

Phone

(757) 393-1136

Fax

(757) 698-2499

NPI assigned

Mar 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Jencare Neighborhood Medical Norfolk, LLC

  • Community/Retail Pharmacy
  • Norfolk, VA
  • NPI 1184918864

  Internal Medicine

  NPD
• PMR Virginia Holding, LLC

  • Specialist
  • Miami Gardens, FL
  • NPI 1083167001
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1306807201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "305-628-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4106 PORTSMOUTH BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "23701",
            "telephone_number": "757-393-1136",
            "fax_number": "757-698-2499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Kingsley LN",
            "address_2": "Ste 309",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "23505",
            "country_code": "US",
            "telephone_number": "757-889-2006",
            "fax_number": "757-889-6559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Kingsley LN",
            "address_2": "Ste 309",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "23505",
            "country_code": "US",
            "telephone_number": "757-889-2006",
            "fax_number": "757-889-6559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOWROOZI",
        "first_name": "MARYAM",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101233196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010221871",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "186909",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen Norling
• Amanda Michelle Northern, NP-C
• Sahar Nourollahi
• Rebecca Brodkin Novick, LCSW
• John Blackwelder Nowell III
• Relindis Nsofon Mutia, DNP
• Nu Life Homecare LLC
• Nugenics Wellness Corporation
• Stephanie K Nurre, APRN
• Nursing You Home Care Service LLC

• Internal Medicine Physician in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.