Active NPI
Abraham Farivari, M.D.
- Urology Physician
- Oxon Hill, MD
National Provider Identifier
1457490989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- D0020550
- Practice address
- 6228 Oxon Hill Rd
Oxon Hill, MD 20745-3033 - Phone
- (301) 839-0334
- Fax
- (301) 749-8788
- NPI assigned
- Feb 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | D0020550 | MD | Primary |
Addresses
Primary practice location
6228 Oxon Hill Rd
Oxon Hill, MD 20745-3033
Mailing address
6196 Oxon Hill Road
#440
Oxon Hill, MD 20745-3127
Phone (301) 839-0334
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 011605900 | Medicaid | DC | |
| 186921300 | Medicaid | MD |
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
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0020550 | MD | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Not-for-Profit Hospital Corporation | Past | Accepting new patients | |
| Not-for-Profit Hospital Corporation | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334620800000",
"number": "1457490989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6196 OXON HILL ROAD",
"address_2": "#440",
"city": "OXON HILL",
"state": "MD",
"postal_code": "207453127",
"telephone_number": "301-839-0334",
"fax_number": "301-749-8788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6228 OXON HILL RD",
"city": "OXON HILL",
"state": "MD",
"postal_code": "207453033",
"telephone_number": "301-839-0334",
"fax_number": "301-749-8788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARIVARI",
"first_name": "ABRAHAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2012-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "MD",
"license": "D0020550",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "011605900",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "186921300",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oxon Hill, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.