Individual provider Active NPI

Abol Hassan Pourhamidi, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Lanham, MD
National Provider Identifier
1366419053
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
D0022930 Issued in MD
Practice address
8100 Good Luck Rd
Ste 401
Lanham, MD 20706-3512
Phone
(301) 459-2990
Fax
(301) 459-2991
NPI assigned
Mar 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X D0022930 MD Primary

Addresses

Primary practice location

8100 Good Luck Rd
Ste 401
Lanham, MD 20706-3512

Mailing address

PO Box 658
Glen Echo, MD 20812-0658
Phone (301) 459-2990

Other identifiers 1

IdentifierTypeStateIssuer
1974OtherDCCARE FIRST BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0022930MDMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

NPI Registry JSON

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

{
    "created_epoch": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1366419053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 658",
            "city": "GLEN ECHO",
            "state": "MD",
            "postal_code": "208120658",
            "telephone_number": "301-459-2990",
            "fax_number": "301-459-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 GOOD LUCK RD",
            "address_2": "STE 401",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063512",
            "telephone_number": "301-459-2990",
            "fax_number": "301-459-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POURHAMIDI",
        "first_name": "ABOL",
        "middle_name": "HASSAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MD",
            "license": "D0022930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST BCBS",
            "identifier": "1974",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.