Individual provider Active NPI

Anissa Mirza Maroof, M.D.

  • Psychiatry Physician
  • Bethesda, MD
National Provider Identifier
1447418918
Registry record updated Nov 3, 2016
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(4) exclusion effective Nov 20, 2025.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0070991 Issued in MD
Practice address
4300 Montgomery Ave
Suite 202
Bethesda, MD 20814-4412
Phone
(301) 785-7110
NPI assigned
May 30, 2008
Last updated
Nov 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D0070991 MD Primary

Addresses

Primary practice location

4300 Montgomery Ave
Suite 202
Bethesda, MD 20814-4412

Mailing address

4300 Montgomery Avenue
Suite 202
Bethesda, MD 20814-0001
Phone (301) 785-7110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1447418918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 MONTGOMERY AVENUE",
            "address_2": "SUITE 202",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208140001",
            "telephone_number": "301-785-7110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 MONTGOMERY AVE",
            "address_2": "SUITE 202",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144412",
            "telephone_number": "301-785-7110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAROOF",
        "first_name": "ANISSA",
        "middle_name": "MIRZA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0070991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.