Active NPI
Simin Sistani, M.D.
- Legal Medicine
- Towson, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Legal Medicine
- License
- D0064104
- Practice address
- 25 Dunvale Rd
Apt 572
Towson, MD 21204-2521 - Phone
- (410) 296-2399
- NPI assigned
- Jun 8, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Legal Medicine | 173000000X | D0064104 | MD | Primary |
Addresses
Primary practice location
25 Dunvale Rd
Apt 572
Towson, MD 21204-2521
Mailing address
25 Dunvale Rd.
Apt 572
Towson, MD 21204
Phone (410) 296-2399
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- 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
- Internal Medicine
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5601 Lloch Raven Blvd
Baltimore, MD 21239-2945
Phone (443) 444-8000
Hospital & facility affiliations
- Medstar Good Samaritan Hospital
- Medstar Union Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.34 of 100
- Quality
- 67.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0064104 | MD | MD | Legal Medicine |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Adfinitas Health at Upper Chesapeake Harford Memorial LLC | Current | Accepting new patients | |
| Adfinitas Health at Upper Chesapeake, LLC | Current | Accepting new patients | |
| Upper Chesapeake Medical Services, Inc | Current | Accepting new patients | |
| Adfinitas Health at Upper Chesapeake Aberdeen LLC | Current | Accepting new patients | |
| Gary a Pichney DPM | Past | Accepting new patients | |
| The Good Samaritan Hospital of Maryland, Inc | Past | Accepting new patients |
Locations
660 McHenry Rd
Aberdeen, MD 21001
Phone (443) 643-1500
5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714
500 Upper Chesapeake Dr
Bel Air, MD 21014
Phone (443) 643-1000
1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440
501 S Union Ave
Hvre de Grace, MD 21078
Phone (301) 939-2400
Organizations & group practices 7
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.
-
- General Practice Physician
- Baltimore, MD
- NPI 1184046187
-
- Hospitalist Physician
- Aberdeen, MD
- NPI 1346941010
-
- Hospitalist Physician
- Havre de Grace, MD
- NPI 1457051724
-
- Hospitalist Physician
- Bel Air, MD
- NPI 1497801419
-
- Hospitalist Physician
- Bel Air, MD
- NPI 1164134037
-
- Durable Medical Equipment & Medical Supplies
- Towson, MD
- NPI 1497932446
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1811084718
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1811084718
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1487741427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396785192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 DUNVALE RD.",
"address_2": "APT 572",
"city": "TOWSON",
"state": "MD",
"postal_code": "21204",
"telephone_number": "410-296-2399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 DUNVALE RD",
"address_2": "APT 572",
"city": "TOWSON",
"state": "MD",
"postal_code": "212042521",
"telephone_number": "410-296-2399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SISTANI",
"first_name": "SIMIN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "173000000X",
"taxonomy_group": "",
"desc": "Legal Medicine",
"state": "MD",
"license": "D0064104",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.