Individual provider Active NPI

Naeem Poursharif, DO

  • Anesthesiology Physician
  • Takoma Park, MD
National Provider Identifier
1417161209
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
H72945 Issued in MD
Practice address
7600 Carroll Ave
Anes: Adult Cardiothoracic Anesthesiology
Takoma Park, MD 20912-6367
Phone
(301) 891-7600
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 0102202556 VA
Anesthesiology Physician 207L00000X 0102202556 VA
Anesthesiology Physician 207L00000X H72945 MD Primary

Addresses

Primary practice location

7600 Carroll Ave
Anes: Adult Cardiothoracic Anesthesiology
Takoma Park, MD 20912-6367

Mailing address

7490 New Technology Way
Anes: Adult Cardiothoracic Anesthesiology
Frederick, MD 21703-8370
Phone (240) 566-1647

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20111020000475 MD Practitioner - Anesthesiology 5193997948 Reassigns benefits to 1 organization
I20111107000319 DC Practitioner - Anesthesiology 5193997948 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Colonies Anesthesia Associates, LLCGroup PAC ID 8426039744, 339 clinicians

Practice addresses (Care Compare)

11210 Old Georgetown Rd
Rockville, MD 20852-3202
Phone (301) 881-7770

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
63.85 of 100Reported as group
Quality
57.47
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102202556VAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. CurrentSince Apr 1, 2020 Accepting new patients
First Colonies Anesthesia Associates, LLC Anesthesiology CurrentSince Sep 13, 2011 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Apr 1, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

11210 Old Georgetown Rd
Rockville, MD 20852
Phone (301) 881-7770

11210 Old Georgetown Rd
#12202
Rockville, MD 20852
Phone (301) 881-7770

11890 Healing Way
Silver Spring, MD 20904
Phone (240) 637-4000

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

7600 Carroll Ave
Takoma Park, MD 20912
Phone (301) 791-7600

8322 Bellona Ave
Ste 202
Towson, MD 21204
Phone (410) 825-6310

8322 Bellona Ave
Ste 201
Towson, MD 21204
Phone (410) 337-2688

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

Interoperability endpoints

  • Direct secure messaging: npoursharif158759@direct.hopkinsmedicine.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385510400000",
    "number": "1417161209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7490 NEW TECHNOLOGY WAY",
            "address_2": "ANES: ADULT CARDIOTHORACIC ANESTHESIOLOGY",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217038370",
            "telephone_number": "240-566-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 CARROLL AVE",
            "address_2": "ANES: ADULT CARDIOTHORACIC ANESTHESIOLOGY",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126367",
            "telephone_number": "301-891-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POURSHARIF",
        "first_name": "NAEEM",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2013-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0102202556",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0102202556",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "H72945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

Verify at the official NPI Registry.