Amir Mirzaalikhani, M.D.

Key facts

NPI

1366447070

Entity type

Individual (NPI type 1)

Primary specialty

Internal Medicine Physician 207R00000X

License

D0046046 (MD)

Practice address

11711 Livingston Rd
Fort Washington, MD 20744-5151

Phone

(301) 203-2232

NPI assigned

Jun 17, 2005

Sex

Male

Sole proprietor

No

Organizations & group practices 17

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.

• Greater Baltimore Medical Center, Inc Obstetrics & Gynecology Physician · Baltimore, MD · NPI 1891855763
  Medicare reassignment Care Compare group NPD MD
• St. Paul Place Specialists, Inc. Orthopaedic Foot and Ankle Surgery Physician · Baltimore, MD · NPI 1871549196
  Medicare reassignment Care Compare group NPD MD
• Dimensions Healthcare Associates, Inc. Anesthesiology Physician · Largo, MD · NPI 1346354834
  Medicare reassignment NPD DC
• Medstar Medical Group II LLC General Practice Physician · Baltimore, MD · NPI 1184046187
  Medicare reassignment NPD DC
• Upmc Western Maryland Corporation Internal Medicine Physician · Cumberland, MD · NPI 1184769952
  Medicare reassignment NPD INTERNAL MEDICINE · MD
• St Paul Place Specialists Inc Diagnostic Radiology Physician · Baltimore, MD · NPI 1497707681
  Care Compare group NPD
• Greater Baltimore Medical Center, Inc. General Acute Care Hospital · Baltimore, MD · NPI 1255372397
  Care Compare group
• Greater Baltimore Medical Center, Inc. Community/Retail Pharmacy · Baltimore, MD · NPI 1356974109
  Care Compare group
• St Paul Place Specialists, Inc. Clinical Pathology/Laboratory Medicine Physician · Baltimore, MD · NPI 1679618359
  Care Compare group
• Dimensions Health Associates Dba University of Maryland Capital Region Internal Medicine Physician · Oxon Hill, MD · NPI 1407486293
  NPD INTERNAL MEDICINE
• Dimensions Healthcare Associates Inc Internal Medicine Physician · Laurel, MD · NPI 1487714168
  NPD INTERNAL MEDICINE
• Saint Paul Place Specialists, Inc. Critical Care Medicine (Internal Medicine) Physician · Baltimore, MD · NPI 1225075856
  NPD CRITICAL CARE MEDICINE
• Upmc Western Maryland Corporation Mental Illness Community Based Residential Treatment Facility · Cumberland, MD · NPI 1174141592
  NPD
• Upmc Western Maryland Corporation Community Health Clinic/Center · Cumberland, MD · NPI 1902926686
  NPD
• Frederick Health Hospital Inc General Acute Care Hospital · Frederick, MD · NPI 1538165527
  NPD (past)
• Maryland Healthcare Associates LLC Internal Medicine Physician · Waldorf, MD · NPI 1699714469
  NPD (past) INTERNAL MEDICINE
• Upmc Western Maryland Health Services, LLC Internal Medicine Physician · Cumberland, MD · NPI 1134844764
  NPD (past) INTERNAL MEDICINE

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Curo Health Services, LLC Community Based Hospice Care Agency · Beltsville, MD · NPI 1184323693
  Care Compare affiliation Hospice
• Curo Health Services, LLC Community Based Hospice Care Agency · Windsor Mill, MD · NPI 1558060061
  Care Compare affiliation Hospice
• Greater Baltimore Medical Center, Inc. General Acute Care Hospital · Baltimore, MD · NPI 1255372397
  Care Compare affiliation Hospital
• Mercy Medical Center Inc General Acute Care Hospital · Baltimore, MD · NPI 1144282583
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Critical Care (Intensivists)
Also: Pulmonary Disease

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Paul Place Specialists, Inc. (332 clinicians)
Greater Baltimore Medical Center (350 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Heartland Hospice (Beltsville) Hospice · Beltsville, MD · CCN 211542
• Heartland Hospice (Baltimore) Hospice · Windsor Mill, MD · CCN 211533
• Mercy Medical Center Inc Hospital · Baltimore, MD · CCN 210008
• Greater Baltimore Medical Center Hospital · Baltimore, MD · CCN 210044

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in DC, MD

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amirzaalikhani86718@direct.mdmercy.com

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 12, 2020.

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1366447070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8578 BRICKYARD RD",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208544833",
            "telephone_number": "240-401-5699",
            "fax_number": "301-983-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11711 LIVINGSTON RD",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207445151",
            "telephone_number": "301-203-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZAALIKHANI",
        "first_name": "AMIR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MD",
            "license": "D0046046",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MD",
            "license": "D0046046",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0046046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "221071100",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST OF DC",
            "identifier": "78210002",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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