Organization Active NPI

Mahmood Mohamadi, M.D, PA

  • Endocrinology, Diabetes & Metabolism Physician
  • Oxon Hill, MD
National Provider Identifier
1477814903
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
MAHMOOD MOHAMADI, M.D, PA
Practice address
6130 Oxon Hill Rd
Suite # 204
Oxon Hill, MD 20745-3103
Phone
(301) 567-9570
Fax
(301) 567-5290
NPI assigned
May 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2012

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

Authorized official

Name
Mahmood Mohamadi, M.D, PANPI 1700828233
Title
Owner
Phone
(301) 567-9570

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

6130 Oxon Hill Rd
Suite # 204
Oxon Hill, MD 20745-3103

Mailing address

6130 Oxon Hill Rd
Suite # 204
Oxon Hill, MD 20745-3103
Phone (301) 567-9570

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120605000104 DC Part B Supplier - Clinic/Group Practice 2163686148 Receives reassigned benefits from 1 practitioner
Practice locations: Chevy Chase, MD; Oxon Hill, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1477814903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6130 OXON HILL RD",
            "address_2": "SUITE # 204",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453103",
            "telephone_number": "301-567-9570",
            "fax_number": "301-567-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6130 OXON HILL RD",
            "address_2": "SUITE # 204",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453103",
            "telephone_number": "301-567-9570",
            "fax_number": "301-567-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHMOOD MOHAMADI, M.D, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "MOHAMADI",
        "authorized_official_first_name": "MAHMOOD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-567-9570",
        "authorized_official_credential": "M.D, PA"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.