Active NPI
Diaa Y. Mikhail, M.D., P.a.
- Family Medicine Physician
- Baltimore, MD
National Provider Identifier
1316979636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- DIAA Y. MIKHAIL, M.D., P.A.
- Practice address
- 1105 N Point Blvd
Suite 708
Baltimore, MD 21224-3419 - Phone
- (410) 288-5901
- Fax
- (410) 288-5904
- NPI assigned
- Jul 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diaa Y. Mikhail
- Title
- President
- Phone
- (410) 288-5901
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1105 N Point Blvd
Suite 708
Baltimore, MD 21224-3419
Mailing address
1105 N Point Blvd
Suite 708
Baltimore, MD 21224-3419
Phone (410) 288-5901
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DG2297 | Other | GA | RAILROAD MEDICARE |
| KAV9DI | Other | MD | CAREFIRST |
| 199301100 | Other | MD | MEDICAL ASSISTANCE |
| 271M | Other | MD | MEDICARE |
| S344 0001 | Other | DC | CAREFIRST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1105 N Point Blvd
Ste 708
Baltimore, MD 21224
Phone (410) 288-5901
1005 N Point Blvd
Ste 708
Baltimore, MD 21224
Phone (410) 288-5901
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1558391227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1327017600000",
"number": "1316979636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 N POINT BLVD",
"address_2": "SUITE 708",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212243419",
"telephone_number": "410-288-5901",
"fax_number": "410-288-5904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 N POINT BLVD",
"address_2": "SUITE 708",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212243419",
"telephone_number": "410-288-5901",
"fax_number": "410-288-5904"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIAA Y. MIKHAIL, M.D., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-07",
"last_updated": "2012-01-20",
"status": "A",
"authorized_official_last_name": "MIKHAIL",
"authorized_official_first_name": "DIAA",
"authorized_official_middle_name": "Y.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-288-5901"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DG2297",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "KAV9DI",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL ASSISTANCE",
"identifier": "199301100",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "271M",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "S344 0001",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.