Active NPI
Mehrdad Mostaan, M.D.
- Interventional Cardiology Physician
- Greenbelt, MD
National Provider Identifier
1477542306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- D24061
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022106 | Other | VA | TRIGON BC/BS |
| 041618 | Other | MD | AETNA US HEALTHCARE |
| 6256M | Other | MD | BC/BS MARYLAND |
| 2118989 | Other | MD | ALLIANCE, MDIPA, OPTIMUM |
| 25803 | Other | MD | MD IPA |
| 32665 | Medicaid | MD | |
| 326651600 | Medicaid | MD |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051118000220 | DC | Practitioner - Internal Medicine | 4284674813 | Practice locations: Greenbelt, MD |
Care Compare profile
Medicare Care Compare- Specialty
- Internal 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
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D24061 | MD | MD | Cardiovascular Disease Physician |
| MD420656 | PA | MD | Interventional Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Diagnostic Associates | Cardiovascular Disease | Past | 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.
-
- Cardiovascular Disease Physician
- Potomac, MD
- NPI 1427178383
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.