Active NPI
Ghulam Dastgir, M.D.
- Ophthalmology Physician
- Catonsville, MD
National Provider Identifier
1386759371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- D0073698
- Practice address
- 1453 N Rolling Rd
Catonsville, MD 21228-1104 - Phone
- (410) 988-2912
- Fax
- (410) 777-5325
- NPI assigned
- Aug 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | D0073698 | MD | Primary |
Addresses
Primary practice location
1453 N Rolling Rd
Catonsville, MD 21228-1104
Mailing address
1453 N Rolling Rd
Catonsville, MD 21228-1104
Phone (410) 988-2912
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0563170 00 | Medicaid | MD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 1968
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15200 New Hampshire Ave
MCC Medical Clinic
Silver Spring, MD 20905-5631
Phone (301) 384-2166
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Muslim Community Center | Current | Accepting new patients |
Locations
15200 New Hampshire Ave
Silver Spring, MD 20905
Phone (301) 384-2166
Organizations & group practices 1
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": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347926400000",
"number": "1386759371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1453 N ROLLING RD",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212281104",
"telephone_number": "410-988-2912",
"fax_number": "410-777-5325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1453 N ROLLING RD",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212281104",
"telephone_number": "410-988-2912",
"fax_number": "410-777-5325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DASTGIR",
"first_name": "GHULAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2012-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MD",
"license": "D0073698",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0563170 00",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Catonsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.