Individual provider Active NPI

Amir Yeganeh, M.D.

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1467986257
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D86842 Issued in MD
Practice address
1 Diamond Crest CT
Baltimore, MD 21209-1500
Phone
(216) 297-9059
Fax
(216) 279-9945
NPI assigned
Apr 18, 2017
Last updated
Nov 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D86842 MD Primary

Addresses

Primary practice location

1 Diamond Crest CT
Baltimore, MD 21209-1500

Mailing address

1 Diamond Crest CT
Baltimore, MD 21209-1500
Phone (216) 297-9059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D86842MDMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1467986257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DIAMOND CREST CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091500",
            "telephone_number": "216-297-9059",
            "fax_number": "216-279-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DIAMOND CREST CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212091500",
            "telephone_number": "216-297-9059",
            "fax_number": "216-279-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEGANEH",
        "first_name": "AMIR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-18",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D86842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.