Individual provider Active NPI

Mitra Hashemi Haeri, MD

  • Neurology Physician
  • Chevy Chase, MD
National Provider Identifier
1356846315
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
D99094 Issued in MD
Practice address
5454 Wisconsin Ave Ste 1720
Chevy Chase, MD 20815-6905
Phone
(301) 562-7200
Fax
(301) 563-7198
NPI assigned
Mar 29, 2018
Last updated
Jan 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X D99094 MD Primary

Addresses

Primary practice location

5454 Wisconsin Ave Ste 1720
Chevy Chase, MD 20815-6905

Mailing address

8555 16TH St Ste 310
Silver Spring, MD 20910-2802
Phone (301) 562-7200

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
I20231024004027 DC Practitioner - Neurology 1254680176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Maryland School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Neurology CenterGroup PAC ID 9739162942, 28 clinicians

Practice addresses (Care Compare)

1201 Seven Locks Rd
Suite 101
Rockville, MD 20854-2957
Phone (301) 562-7200

2021 K St NW
Washington, DC 20006-1003
Phone (301) 562-7200

5454 Wisconsin Ave
Suite 1720
Chevy Chase, MD 20815-6905
Phone (301) 562-7200

6410 Rockledge Dr
Suite 600
Bethesda, MD 20817-1844

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.79 of 100Reported as group
Quality
86.76
Promoting interoperability
100
Improvement activities
40
Cost
75.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D99094MDMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Neurology Center Neurology CurrentSince Dec 1, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2021 K St NW
Washington, DC 20006
Phone (202) 466-8118

2021 K St NW
Ste 210
Washington, DC 20006
Phone (202) 223-3560

5454 Wisconsin Ave
Ste 1720
Chevy Chase, MD 20815

10750 Columbia Pike
Silver Spring, MD 20901
Phone (240) 331-6099

10750 Columbia Pike
Ste 600
Silver Spring, MD 20901
Phone (301) 563-7198

8555 16th St
Ste 310
Silver Spring, MD 20910
Phone (301) 563-7198

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23649/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mitra.haeri.1@23649.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1356846315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8555 16TH ST STE 310",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209102802",
            "telephone_number": "301-562-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 WISCONSIN AVE STE 1720",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156905",
            "telephone_number": "301-562-7200",
            "fax_number": "301-563-7198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAERI",
        "first_name": "MITRA",
        "middle_name": "HASHEMI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D99094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.