NPIMap

Organization Active NPI

Nasseri Clinic of Arthritic & Rheumatic Diseases LLC

  • Rheumatology Physician
  • Columbia, MD
National Provider Identifier
1386209302
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
NASSERI CLINIC OF ARTHRITIC & RHEUMATIC DISEASES LLC
Practice address
5500 Knoll North Dr
Columbia, MD 21045-2370
Phone
(410) 744-0661
Fax
(410) 744-8036
NPI assigned
May 6, 2019
Organization subpart
Yes
Parent organization
NASSERI CLINIC OF ARTHRITIC & RHEUMATIC DISEASES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Authorized official

Name
Samantha Mihm
Title
Credentialing Specialist
Phone
(410) 744-0661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

5500 Knoll North Dr
Columbia, MD 21045-2370

Mailing address

700 Geipe Rd Ste 200
Catonsville, MD 21228-4176
Phone (410) 744-0661

Other identifiers 1

IdentifierTypeStateIssuer
902MOtherMDMEDICARE PIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@nassericlinic.com

National Provider Directory

National Provider Directory
Tax ID family
Nasseri Clinic of Arthritic4 organizations share this tax ID, including this one
Part of
Nasseri Clinic of Arthritic

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1386209302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 GEIPE RD STE 200",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284176",
            "telephone_number": "410-744-0661",
            "fax_number": "410-744-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 KNOLL NORTH DR",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452370",
            "telephone_number": "410-744-0661",
            "fax_number": "410-744-8036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASSERI CLINIC OF ARTHRITIC & RHEUMATIC DISEASES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NASSERI CLINIC OF ARTHRITIC & RHEUMATIC DISEASES, LLC",
        "enumeration_date": "2019-05-06",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "MIHM",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "410-744-0661"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "902M",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@nassericlinic.com",
            "affiliation": "N",
            "address_1": "5500 Knoll North Dr",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210452370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.