Individual provider Active NPI

Neda Frayha, MD

  • Internal Medicine Physician
  • Ellicott City, MD
National Provider Identifier
1356485783
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D68689 Issued in MD
Practice address
2850 N Ridge Rd
Ellicott City, MD 21043-3464
Phone
(410) 465-8119
Fax
(410) 203-2016
NPI assigned
Feb 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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 D68689 MD Primary

Addresses

Primary practice location

2850 N Ridge Rd
Ellicott City, MD 21043-3464

Mailing address

2850 N Ridge Rd
Ellicott City, MD 21043-3464
Phone (410) 465-8119

Other identifiers 1

IdentifierTypeStateIssuer
332150900MedicaidMD

Other names 1

  • Neda Homayoupour Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20100902000043 MD Practitioner - Internal Medicine 8325162019 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D68689MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Physicians P.a. Current Accepting new patients
University of Maryland Physicians, P.a. Internal Medicine CurrentSince Jul 1, 2010 Accepting new patients
University of Maryland Physicians P.a. Current Accepting new patients
University of Maryland Physicians PA Internal Medicine Current Accepting new patients
Seton Medical Group, Inc Internal Medicine CurrentSince Feb 1, 2018 Accepting new patients
University of Maryland Physicians P.a. CurrentSince Jul 1, 2010 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

22 S Greene St
#N3E9
Baltimore, MD 21201
Phone (410) 328-2454

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

2850 North Ridge Rd
Ste 103
Ellicott City, MD 21043
Phone (410) 465-8119

2850 North Ridge Rd
Ellicott City, MD 21043
Phone (410) 461-1600

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1356485783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 N RIDGE RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433464",
            "telephone_number": "410-465-8119",
            "fax_number": "410-203-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 N RIDGE RD",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210433464",
            "telephone_number": "410-465-8119",
            "fax_number": "410-203-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAYHA",
        "first_name": "NEDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-18",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D68689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "332150900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NEDA",
            "last_name": "HOMAYOUPOUR",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ellicott City, MD

Sources for this page

Verify at the official NPI Registry.