Individual provider Active NPI

Arastoo Yazdani, M.D

  • Internal Medicine Physician
  • Clinton, MD
National Provider Identifier
1326019357
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0050454 Issued in MD
Practice address
9135 Piscataway Rd
Suite 235
Clinton, MD 20735-2549
Phone
(301) 877-2150
Fax
(301) 877-2154
NPI assigned
Jan 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0050454 MD Primary

Addresses

Primary practice location

9135 Piscataway Rd
Suite 235
Clinton, MD 20735-2549

Mailing address

PO Box 2636
Reston, VA 20195-0636
Phone (301) 877-2150

Other identifiers 2

IdentifierTypeStateIssuer
158008600MedicaidMD
541181500MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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

Enrollment IDStateProvider typePAC IDDetails
I20040701001259 DC Practitioner - Internal MedicinePractitioner - Nephrology 6204811250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4467 Old Branch Ave
Suite 101
Temple Hills, MD 20748-1854
Phone (301) 899-7940

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Largo, MD, CCN 217149
  • Medstar Health Home Care Home health agency, Hyattsville, MD, CCN 217150
  • Homecall Home health agency, Easton, MD, CCN 217066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Arastoo Yazdani MD PC Internal Medicine CurrentSince Sep 1, 2004 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

7905 Malcolm Rd
Ste 103
Clinton, MD 20735
Phone (301) 877-2150

9135 Piscataway Rd
Ste 235
Clinton, MD 20735
Phone (301) 868-8291

4467 Old Branch Ave
Ste 101
Temple Hills, MD 20748
Phone (301) 358-6155

Organizations & group practices 2

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.

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": "1138406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1326019357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2636",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201950636",
            "telephone_number": "301-877-2150",
            "fax_number": "301-877-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9135 PISCATAWAY RD",
            "address_2": "SUITE 235",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207352549",
            "telephone_number": "301-877-2150",
            "fax_number": "301-877-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAZDANI",
        "first_name": "ARASTOO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-28",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0050454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158008600",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "541181500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

Verify at the official NPI Registry.