Individual provider Active NPI

Mehrdad Mostaan, M.D.

  • Interventional Cardiology Physician
  • Greenbelt, MD
National Provider Identifier
1477542306
Registry record updated May 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
D24061 Issued in MD
Practice address
7525 Greenway Center Dr Ste T3
Greenbelt, MD 20770-3527
Phone
(301) 983-8237
Fax
(301) 983-3935
NPI assigned
Oct 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X D24061 MD
Interventional Cardiology Physician 207RI0011X MD420656 PA
Interventional Cardiology Physician 207RI0011X D24061 MD Primary

Addresses

Primary practice location

7525 Greenway Center Dr Ste T3
Greenbelt, MD 20770-3527

Mailing address

PO Box 61443
Potomac, MD 20859-1443
Phone (301) 983-8237

Other identifiers 7

IdentifierTypeStateIssuer
022106OtherVATRIGON BC/BS
041618OtherMDAETNA US HEALTHCARE
6256MOtherMDBC/BS MARYLAND
2118989OtherMDALLIANCE, MDIPA, OPTIMUM
25803OtherMDMD IPA
32665MedicaidMD
326651600MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051118000220 DC Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Nuclear Medicine 4284674813 Practice locations: Greenbelt, MD

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology), Nuclear Medicine
Education
University of Maryland School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7525 Greenway Ctr Dr
Suite T3
Greenbelt, MD 20770-3527
Phone (301) 983-8237

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D24061MDMDCardiovascular Disease Physician
MD420656PAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Diagnostic Associates Cardiovascular Disease PastSince May 14, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1477542306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61443",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208591443",
            "telephone_number": "301-983-8237",
            "fax_number": "301-983-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 GREENWAY CENTER DR STE T3",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703527",
            "telephone_number": "301-983-8237",
            "fax_number": "301-983-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSTAAN",
        "first_name": "MEHRDAD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D24061",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "MD420656",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MD",
            "license": "D24061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIGON BC/BS",
            "identifier": "022106",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "041618",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS MARYLAND",
            "identifier": "6256M",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE, MDIPA, OPTIMUM",
            "identifier": "2118989",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD IPA",
            "identifier": "25803",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32665",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "326651600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.