NPIMap

Organization Active NPI

Ramin Farboud MD PC

  • Gastroenterology Physician
  • Washington, DC
National Provider Identifier
1427384619
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD33797 Issued in DC
Legal business name
RAMIN FARBOUD MD PC
Practice address
1160 Varnum St NE
Suite 212
Washington, DC 20017-2107
Phone
(301) 652-4828
Fax
(301) 652-2070
NPI assigned
Oct 23, 2009
Last updated
Oct 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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

Authorized official

Name
Ramin Farboudmanesch, MDNPI 1669433215
Title
President
Phone
(301) 652-4828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD33797 DC Primary

Addresses

Primary practice location

1160 Varnum St NE
Suite 212
Washington, DC 20017-2107

Mailing address

5454 Wisconsin Avenue
Suite 1045
Chevy Chase, MD 20815-6917
Phone (301) 652-4828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100309000555 DC Part B Supplier - Clinic/Group Practice 8123163532 Receives reassigned benefits from 2 practitioners
Practice locations: Vienna, VA; Washington, DC; Hyattsville, MD; Chevy Chase, MD

National Provider Directory

National Provider Directory

Locations

1150 Varnum St NE
Ste 212
Washington, DC 20017
Phone (301) 652-4828

1160 Varnum St NE
Ste 115
Washington, DC 20017
Phone (202) 269-4770

5454 Wisconsin Ave
Ste 104
Chevy Chase, MD 20815
Phone (301) 652-4828

5454 Wisconsin Ave
Ste 1045
Chevy Chase, MD 20815
Phone (301) 652-4828

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1427384619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 WISCONSIN AVENUE",
            "address_2": "SUITE 1045",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156917",
            "telephone_number": "301-652-4828",
            "fax_number": "301-652-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 VARNUM ST NE",
            "address_2": "SUITE 212",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172107",
            "telephone_number": "301-652-4828",
            "fax_number": "301-652-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMIN FARBOUD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-23",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "FARBOUDMANESCH",
        "authorized_official_first_name": "RAMIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-652-4828",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "DC",
            "license": "MD33797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.