Individual provider Active NPI

Rostam Nassiri, M.D.

  • Family Medicine Physician
  • Silver Spring, MD
National Provider Identifier
1366494288
Registry record updated May 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0061989 Issued in MD
Practice address
13823 Outlet Dr
Silver Spring, MD 20904-4971
Phone
(301) 890-8000
Fax
(301) 890-1485
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0061989 MD Primary

Addresses

Primary practice location

13823 Outlet Dr
Silver Spring, MD 20904-4971

Mailing address

13823 Outlet Dr
Silver Spring, MD 20904-4971
Phone (301) 890-8000

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
I20060220000351 DC Practitioner - Family Practice 4183639602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13823 Outlet Dr
Silver Spring, MD 20904-4971
Phone (301) 890-8000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0061989MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Briggs Chaney Walk in Clinic, LLC CurrentSince Mar 26, 2009 Accepting new patients
Washington County Emergency Medicine Physicians, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

13823 Outlet Dr
Silver Spring, MD 20904
Phone (301) 890-8000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399852800000",
    "number": "1366494288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13823 OUTLET DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209044971",
            "telephone_number": "301-890-8000",
            "fax_number": "301-890-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13823 OUTLET DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209044971",
            "telephone_number": "301-890-8000",
            "fax_number": "301-890-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSIRI",
        "first_name": "ROSTAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2014-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0061989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.