Individual provider Active NPI

Amir Mirzaalikhani, M.D.

  • Internal Medicine Physician
  • Fort Washington, MD
National Provider Identifier
1366447070
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0046046 Issued in MD
Practice address
11711 Livingston Rd
Fort Washington, MD 20744-5151
Phone
(301) 203-2232
NPI assigned
Jun 17, 2005
Last updated
Oct 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X D0046046 MD
Pulmonary Disease Physician 207RP1001X D0046046 MD
Internal Medicine Physician 207R00000X D0046046 MD Primary

Addresses

Primary practice location

11711 Livingston Rd
Fort Washington, MD 20744-5151

Mailing address

8578 Brickyard Rd
Potomac, MD 20854-4833
Phone (240) 401-5699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040412000053 DC Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 8123012432 Reassigns benefits to 2 organizations
I20051230000414 MD Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary Disease 8123012432 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
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.Group PAC ID 7719882943, 332 clinicians
Greater Baltimore Medical CenterGroup PAC ID 1759276975, 350 clinicians

Practice addresses (Care Compare)

301 Saint Paul St
Baltimore, MD 21202-2102
Phone (410) 625-4972

3701 N Charles St
South Chapman Building Suite 102
Towson, MD 21204-6808

6565 N Charles St
Baltimore, MD 21204-5805

6565 N Charles St
Baltimore, MD 21204-6808

6565 N Charles Street
201 Pulmonary Medicine at GBMC
Baltimore, MD 21204-5805
Phone (443) 849-3901

6569 N Charles St
Suite 505
Baltimore, MD 21204-6808
Phone (443) 849-2658

6569 N Charles St PPW Room
307 GYN Specialists
Baltimore, MD 21204-6808
Phone (443) 849-6123

6569 N Charles Street
504 Hoover Low Vision GBMC
Baltimore, MD 21204-6808
Phone (443) 849-2658

6701 N Charles St
Baltamore, MD 21204-6808

6701 N Charles St BLDG
S Chapman BLDG Suite 102
Baltimore, MD 21204-6808

6701 N Charles St Unit
Baltimore, MD 21204-6808
Phone (443) 849-3131

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Western Maryland Corporation CurrentSince Mar 1, 2020 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jan 1, 2020 Accepting new patients
Upmc Western Maryland Corporation Internal Medicine Current Accepting new patients
Saint Paul Place Specialists, Inc. Critical Care Medicine CurrentSince Jan 15, 2021 Accepting new patients
Dimensions Healthcare Associates, Inc. Current Accepting new patients
Dimensions Health Associates Dba University of Maryland Capital Region Internal Medicine CurrentSince Dec 1, 2015 Accepting new patients
Dimensions Healthcare Associates Inc Internal Medicine CurrentSince Dec 1, 2015 Accepting new patients
St Paul Place Specialists Inc CurrentSince Jan 15, 2021 Accepting new patients
St. Paul Place Specialists, Inc. Current Accepting new patients
Greater Baltimore Medical Center, Inc Current Accepting new patients
Upmc Western Maryland Corporation CurrentSince Mar 1, 2020 Accepting new patients
Upmc Western Maryland Health Services, LLC Internal Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Maryland Healthcare Associates LLC Internal Medicine Past Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

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

301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930

2900 Mercy Ln
Cheverly, MD 20785
Phone (301) 618-2010

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

1313 National Hwy
Lavale, MD 21502
Phone (240) 362-0288

9419 Common Brook Rd
Ste 212
Owings Mills, MD 21117
Phone (443) 213-5595

1838 Greene Tree Rd
Ste 420
Pikesville, MD 21208
Phone (410) 494-7920

515 Fairmount Ave
Ste 500
Towson, MD 21286
Phone (410) 494-1662

515 Fairmount Ave
Ste 601
Towson, MD 21286

6569 N Charles St
Ste 505
Towson, MD 21204
Phone (443) 849-2196

Interoperability endpoints

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

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 4

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": "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, MD

Sources for this page

Verify at the official NPI Registry.