Individual provider Active NPI

Noureddin Nourmohammadi, MD

  • Diagnostic Radiology Physician
  • Baltimore, MD
National Provider Identifier
1336181080
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D0021784 Issued in MD
Practice address
7253 Ambassador Rd
Baltimore, MD 21244-2710
Phone
(443) 436-1116
Fax
(443) 436-1256
NPI assigned
Jun 10, 2006
Last updated
Feb 5, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D0021784 MD Primary

Addresses

Primary practice location

7253 Ambassador Rd
Baltimore, MD 21244-2710

Mailing address

7253 Ambassador Rd
Baltimore, MD 21244-2710
Phone (443) 436-1116

Other identifiers 1

IdentifierTypeStateIssuer
561171700MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20130830000579 CA Practitioner - Diagnostic Radiology 8820121015 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2600 Redondo Ave
Suite 101
Long Beach, CA 90806-2325
Phone (562) 424-4100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0021784MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norcal Imaging Diagnostic Radiology CurrentSince Jan 23, 2018 Accepting new patients
United Medical Imaging Healthcare, Inc. CurrentSince Aug 5, 2019 Accepting new patients
Norcal Imaging Diagnostic Radiology CurrentSince Jan 23, 2018 Accepting new patients
United Medical Imaging Healthcare, Inc. Current Accepting new patients
United Medical Imaging Healthcare, Inc. CurrentSince Aug 5, 2019 Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Diagnostic Radiology Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
Advanced Radiology P a Diagnostic Radiology PastSince Sep 29, 2024 Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
Advanced Radiology P a Diagnostic Radiology Past Accepting new patients
Advanced Radiology P a Diagnostic Radiology Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients
United Medical Imaging Healthcare, Inc. Past Accepting new patients

Locations

10230 Artesia Blvd
Ste 100
Bellflower, CA 90706
Phone (562) 461-2585

11411 Brookshire Ave
Ste 101
Downey, CA 90241
Phone (562) 869-9192

2201 Walnut Ave
Ste 150
Fremont, CA 94538
Phone (510) 713-1234

1141 W Redondo Beach Blvd
Ste 307
Gardena, CA 90247
Phone (310) 715-6100

624 S Central Ave
Glendale, CA 91204
Phone (818) 241-3369

1040 Elm Ave
Ste 102
Long Beach, CA 90813
Phone (562) 285-1000

2600 Redondo Ave
Ste 101
Long Beach, CA 90806
Phone (562) 424-4100

1516 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2843

3513 Whittier Blvd
Los Angeles, CA 90023
Phone (323) 262-1814

4916 Whittier Blvd
Los Angeles, CA 90022
Phone (213) 596-8100

3737 Martin Luther King Jr Blvd
Ste 104
Lynwood, CA 90262
Phone (310) 667-4999

26522 La Alameda
Ste 170190
Mission Viejo, CA 92691

800 N Tustin Ave
Ste M
Santa Ana, CA 92705
Phone (714) 285-0747

1661 Golden Rain Rd
Ste Radiology
Seal Beach, CA 90740
Phone (562) 795-6314

Organizations & group practices 35

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.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1336181080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7253 AMBASSADOR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442710",
            "telephone_number": "443-436-1116",
            "fax_number": "443-436-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7253 AMBASSADOR RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442710",
            "telephone_number": "443-436-1116",
            "fax_number": "443-436-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOURMOHAMMADI",
        "first_name": "NOUREDDIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0021784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "561171700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.