Individual provider Active NPI

Ali Rezazadeh Tehrani, M.D.

  • Specialist
  • Silver Spring, MD
National Provider Identifier
1437237468
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0046939 Issued in MD
Practice address
9801 Georgia Ave
Suite 3-41
Silver Spring, MD 20902-5276
Phone
(301) 681-1535
Fax
(300) 168-1394
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0046939 MD Primary

Addresses

Primary practice location

9801 Georgia Ave
Suite 3-41
Silver Spring, MD 20902-5276

Mailing address

9801 Georgia Ave
Suite 3-41
Silver Spring, MD 20902-5276
Phone (301) 681-1535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 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
I20050124000272 DC Practitioner - Urology 7911957451 Reassigns benefits to 1 organization
I20050607001172 MD Practitioner - Urology 7911957451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Howard University College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1328 Southern Ave SE
Suite 310
Washington, DC 20032-4689
Phone (301) 681-1535

1667 Crofton Ctr
Crofton, MD 21114-1303
Phone (301) 261-6222

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0046939MDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix House Physicians PA Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 3

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189123200000",
    "number": "1437237468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 GEORGIA AVE",
            "address_2": "SUITE 3-41",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025276",
            "telephone_number": "301-681-1535",
            "fax_number": "301-681-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 GEORGIA AVE",
            "address_2": "SUITE 3-41",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025276",
            "telephone_number": "301-681-1535",
            "fax_number": "300-168-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZAZADEH TEHRANI",
        "first_name": "ALI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0046939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.