NPIMap

Individual provider Active NPI

Amjad Nasr Anaizi, MD

  • Neurological Surgery Physician
  • Clinton, MD
National Provider Identifier
1396996385
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
MD040139 Issued in DC
Practice address
10401 Hospital Dr
Suite 101
Clinton, MD 20735-3110
Phone
(301) 856-2323
Fax
(301) 856-0477
NPI assigned
Oct 8, 2008
Last updated
Apr 10, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X D0076394 MD
Neurological Surgery Physician 207T00000X MD040139 DC Primary

Addresses

Primary practice location

10401 Hospital Dr
Suite 101
Clinton, MD 20735-3110

Mailing address

10401 Hospital Dr
Suite 101
Clinton, MD 20735-3110
Phone (301) 856-2323

Other identifiers 2

IdentifierTypeStateIssuer
084050700MedicaidDC
555304100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130913000711 DC Practitioner - Neurosurgery 3375796626 Reassigns benefits to 2 organizations
I20131220000797 MD Practitioner - Neurosurgery 3375796626 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Tufts University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

25500 Point Lookout Rd
Leonardtown, MD 20650-2015
Phone (240) 434-4088

29955 Three Notch Rd
100 MMG at Charlotte Hall
Charlotte Hall, MD 20622-3159
Phone (301) 290-5300

3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone (703) 558-1400

5454 Wisconsin Ave
Chevy Chase, MD 20815-6901
Phone (877) 677-3627

7503 Surratts Rd
Clinton, MD 20735-3358
Phone (301) 868-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.97 of 100Reported as group
Quality
72.87
Promoting interoperability
100
Improvement activities
40
Cost
67.82

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion162
Laminectomy or laminotomy (partial removal of spine bones)78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0076394MDMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince May 7, 2025 Accepting new patients
Medstar Medical Group II LLC CurrentSince Oct 1, 2013 Accepting new patients
Medstar Medical Group II LLC CurrentSince Aug 5, 2013 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 7, 2025 Accepting new patients
MGMC, LLC CurrentSince Aug 5, 2013 Accepting new patients
Medstar Georgetown Medical Center, Inc Past Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients
Medstar - Georgetown Medical Center, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

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

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

3800 Reservoir Rd NW
#3004
Washington, DC 20007

3800 Reservoir Rd NW
Fl 6
Washington, DC 20007
Phone (202) 687-8188

3800 Reservoir Rd NW
Fl 7
Washington, DC 20007
Phone (202) 444-4972

621 Ridgely Ave
Ste 201
Annapolis, MD 21401
Phone (410) 224-4887

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

25500 Point Lookout Rd
Ste P250
Leonardtown, MD 20650
Phone (240) 434-4070

Organizations & group practices 9

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.

Hospital & facility affiliations 5

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": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397088000000",
    "number": "1396996385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 HOSPITAL DR",
            "address_2": "SUITE 101",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353110",
            "telephone_number": "301-856-2323",
            "fax_number": "301-856-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 HOSPITAL DR",
            "address_2": "SUITE 101",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207353110",
            "telephone_number": "301-856-2323",
            "fax_number": "301-856-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANAIZI",
        "first_name": "AMJAD",
        "middle_name": "NASR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-08",
        "last_updated": "2014-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MD",
            "license": "D0076394",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "DC",
            "license": "MD040139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084050700",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "555304100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

Verify at the official NPI Registry.