Amar A Mukhtar, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

H0089962 Issued in MD

Practice address

7450 Albert Rd FL 2
Brandywine, MD 20613-3035

Phone

(301) 888-2233

Fax

(301) 888-9133

NPI assigned

May 16, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC, MD, VA3 enrollments

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 3

Specialty

Psychiatry

Education

Edward Via Col of Osteo Medicine-Virginia Campus, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Uplift Behavioral Health PCGroup PAC ID 4688057086, 16 clinicians

Greater Baden Medical Service IncorporatedGroup PAC ID 4981632650, shared by 10 NPIs, 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

• Uplift Behavioral Health PC

  • Adult Mental Health Clinic/Center
  • Bethesda, MD
  • NPI 1629740410

  DC, Psychiatry, VA

  Medicare reassignment Care Compare group NPD
• Greater Baden Medical Service Incorporated

  • Federally Qualified Health Center (FQHC)
  • Brandywine, MD
  • NPI 1912927344

  DC, Psychiatry

  Medicare reassignment NPD
• Uplift Health Technologies, Inc.

  • Adult Mental Health Clinic/Center
  • Arlington, VA
  • NPI 1770189243

  DC

  Medicare reassignment NPD
• Greater Baden Medical Service Incorporated

  • Federally Qualified Health Center (FQHC)
  • Lexington Park, MD
  • NPI 1487469243
  NPD
• Greater Baden Medical Service Incorporated

  • Federally Qualified Health Center (FQHC)
  • Capitol Heights, MD
  • NPI 1275783615
  NPD (past)
• Greater Baden Medical Service Incorporated

  • Federally Qualified Health Center (FQHC)
  • La Plata, MD
  • NPI 1417107913
  NPD (past)
• Greater Baden Medical Service Incorporated

  • Federally Qualified Health Center (FQHC)
  • Leonardtown, MD
  • NPI 1922258367
  NPD (past)
• Capital Neuropsychiatry and Wellness LLC

  • Psychiatry Physician
  • Annandale, VA
  • NPI 1881438760
  NPD (past)

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1346697760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 ALBERT RD FL 3",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206133035",
            "telephone_number": "301-888-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 ALBERT RD FL 2",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206133035",
            "telephone_number": "301-888-2233",
            "fax_number": "301-888-9133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 E. Marshall St.",
            "address_2": "Box 980710",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "23298",
            "country_code": "US",
            "telephone_number": "804-828-9452",
            "fax_number": "804-828-9282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUKHTAR",
        "first_name": "AMAR",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0102205318",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "H0089962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220136400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronaldo Montecer Jr., PT
• Montgomery Brain and Spine (Center for Brain and Spine)
• Maria Moore
• Lucie Victoria Moravia, D.O.
• Marylyne Muandze
• Iyana Venia Muse, P.T.
• Tiffanie Musgrove
• N & a Mental Wellness LLC
• Sunil Nachnani, M.D.
• Nai Saturn Eastern LLC (Safeway Pharmacy #2853)

• Psychiatry Physician in Brandywine, MD
• Providers in Brandywine, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.