Individual provider Active NPI

Farzad Ali Masroor, MD

  • Internal Medicine Physician
  • Oakland, CA
National Provider Identifier
1467686212
Registry record updated Jun 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD446389 Issued in PA
Practice address
3600 Broadway FL 4
Oakland, CA 94611-5730
Phone
(510) 752-1115
NPI assigned
May 8, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT194954 PA
Student in an Organized Health Care Education/Training Program 390200000X MT194954 PA
Internal Medicine Physician 207R00000X MD446389 PA Primary

Addresses

Primary practice location

3600 Broadway FL 4
Oakland, CA 94611-5730

Mailing address

3600 Broadway FL 4
Oakland, CA 94611-5730
Phone (510) 752-1115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, PA, MD3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20150720003373 CA Practitioner - OtolaryngologyPractitioner - Internal Medicine 6800019779 Reassigns benefits to 2 organizations
I20190716001994 PA Practitioner - Otolaryngology 6800019779 Reassigns benefits to 2 organizations
I20201204000166 MD Practitioner - Otolaryngology 6800019779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Medical College of Georgia School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Baltimore Medical CenterGroup PAC ID 1759276975, 350 clinicians

Practice addresses (Care Compare)

3701 N Charles St
South Chapman Building Suite 102
Towson, MD 21204-6808

6565 N Charles St
Baltimore, MD 21204-6808

6569 N Charles St
Baltimore, MD 21204-5816

6569 N Charles St
Suite 505
Baltimore, MD 21204-6808
Phone (443) 849-2658

6569 N Charles St PPW Room
307 GYN Specialists
Baltimore, MD 21204-6808
Phone (443) 849-6123

6569 N Charles Street
504 Hoover Low Vision GBMC
Baltimore, MD 21204-6808
Phone (443) 849-2658

6701 N Charles St
Baltamore, MD 21204-6808

6701 N Charles St BLDG
S Chapman BLDG Suite 102
Baltimore, MD 21204-6808

6701 N Charles St Unit
Baltimore, MD 21204-6808
Phone (443) 849-3131

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision22
Skin biopsy50

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
130945CAMDMarriage & Family Therapist
MD446389PAMDInternal Medicine Physician
MT194954PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group, Inc CurrentSince Apr 22, 2017 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Nov 16, 2020 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2019 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Aug 17, 2020 Accepting new patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince May 1, 2015 Accepting new patients
Permanente Medical Group Inc Internal Medicine CurrentSince Apr 22, 2017 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 1, 2019 Accepting new patients
Greater Baltimore Medical Center, Inc. CurrentSince Nov 16, 2020 Accepting new patients
DLP Conemaugh Physician Practices LLC Internal Medicine CurrentSince Aug 17, 2020 Accepting new patients
Greater Baltimore Medical Center, Inc Current Accepting new patients
Permanente Medical Group Inc Internal Medicine Current Accepting new patients
Greater Baltimore Medical Center, Inc. Past Accepting new patients
UCSF Medical Group Business Services Internal Medicine Past Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations (25 of 27)

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

155 Glasson Way
Grass Valley, CA 95945
Phone (530) 274-6000

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

3600 Broadway
Fl 4
Oakland, CA 94611
Phone (510) 752-1933

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

6535 N Charles St
Ste 250
Towson, MD 21204
Phone (443) 849-2140

6569 N Charles St
Ste 401
Towson, MD 21204
Phone (443) 849-2087

6569 N Charles St
Ste 307
Towson, MD 21204
Phone (443) 849-2767

6569 N Charles St
Ste 505
Towson, MD 21204
Phone (443) 849-2196

321 Main St
Ste 4C
Johnstown, PA 15901
Phone (814) 536-7725

1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740

1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540

Organizations & group practices 16

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.

View all 16

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": "1241740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403395200000",
    "number": "1467686212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 BROADWAY FL 4",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115730",
            "telephone_number": "510-752-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 BROADWAY FL 4",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115730",
            "telephone_number": "510-752-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASROOR",
        "first_name": "FARZAD",
        "middle_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-08",
        "last_updated": "2014-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT194954",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT194954",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD446389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.