NPIMap

Individual provider Active NPI

Mohammad Basit Afzal, M.D.

  • Internal Medicine Physician
  • Elkton, MD
National Provider Identifier
1306890611
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0066102 Issued in MD
Practice address
677 E Pulaski Hwy Ste 1B
Elkton, MD 21921-6057
Phone
(410) 398-0215
Fax
(443) 593-3725
NPI assigned
May 20, 2006
Last updated
Aug 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0066102 MD Primary
Phlebology Physician 202K00000X D0066102 MD

Addresses

Primary practice location

677 E Pulaski Hwy Ste 1B
Elkton, MD 21921-6057

Mailing address

677 E Pulaski Hwy Ste 1B
Elkton, MD 21921-6057
Phone (410) 398-0215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070924000339 MD Practitioner - Internal Medicine 3577597558 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tri-State Health, Inc.Group PAC ID 0143328153, 8 clinicians

Practice addresses (Care Compare)

107 N Bridge St
Elkton, MD 21921-5326
Phone (302) 442-0998

677 E Pulaski Hwy
Suite 1B
Elkton, MD 21921-6057
Phone (410) 398-0215

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-State Health, Inc. Internal Medicine CurrentSince Mar 1, 2021 Accepting new patients
Delaware Medicine & OBGYN LLC Internal Medicine CurrentSince Jul 5, 2017 Accepting new patients
Tri-State Health, Inc. Current Accepting new patients
Tri-State Health, Inc CurrentSince Mar 1, 2021 Accepting new patients
Inpatient Consultants of Missouri Inc Internal Medicine Past Accepting new patients
Upper Chesapeake Medical Services, Inc Hospitalist Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

107 N Bridge St
Elkton, MD 21921
Phone (302) 442-0998

677 E Pulaski Hwy
Ste 1B
Elkton, MD 21921
Phone (302) 595-3670

2288 Pulaski Hwy
Ste 1
North East, MD 21901
Phone (410) 392-6408

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1306890611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 E PULASKI HWY STE 1B",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216057",
            "telephone_number": "410-398-0215",
            "fax_number": "443-593-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 E PULASKI HWY STE 1B",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216057",
            "telephone_number": "410-398-0215",
            "fax_number": "443-593-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFZAL",
        "first_name": "MOHAMMAD",
        "middle_name": "BASIT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0066102",
            "primary": true
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "MD",
            "license": "D0066102",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

Verify at the official NPI Registry.