Individual provider Active NPI

Shabnam Foroughi, M.D.

  • Allergy Physician
  • Rockville, MD
National Provider Identifier
1417086687
Registry record updated Jun 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
MD33876 Issued in DC
Practice address
10110 Molecular Dr
Suite 209
Rockville, MD 20850-7539
Phone
(301) 315-1500
Fax
(301) 315-2545
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X MD33876 DC Primary
Pediatrics Physician 208000000X MD33876 DC
Pediatric Allergy/Immunology Physician 2080P0201X MD33876 DC

Addresses

Primary practice location

10110 Molecular Dr
Suite 209
Rockville, MD 20850-7539

Mailing address

10110 Molecular Dr
Suite 209
Rockville, MD 20850-7539
Phone (301) 315-1500

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151211000130 MD Order and Referring Only - Allergy/ImmunologyPractitioner - Allergy/Immunology 5890854046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD33876DCMDPediatric Allergy/Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

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": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243814400000",
    "number": "1417086687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10110 MOLECULAR DR",
            "address_2": "SUITE 209",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208507539",
            "telephone_number": "301-315-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 MOLECULAR DR",
            "address_2": "SUITE 209",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208507539",
            "telephone_number": "301-315-1500",
            "fax_number": "301-315-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOROUGHI",
        "first_name": "SHABNAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2009-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "DC",
            "license": "MD33876",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "DC",
            "license": "MD33876",
            "primary": false
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "DC",
            "license": "MD33876",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.