Individual provider Active NPI

Mohsin Ijaz, M.D.

  • Cardiovascular Disease Physician
  • Rockville, MD
National Provider Identifier
1497728760
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D0053601 Issued in MD
Practice address
11119 Rockville Pike
Suite 100
Rockville, MD 20852-3143
Phone
(301) 816-9000
Fax
(301) 816-0295
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D0053601 MD Primary

Addresses

Primary practice location

11119 Rockville Pike
Suite 100
Rockville, MD 20852-3143

Mailing address

11119 Rockville Pike
Suite 100
Rockville, MD 20852-3143
Phone (301) 816-9000

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
I20040727000695 DC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Peripheral Vascular Disease 1557331790 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Peripheral Vascular Disease
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Choudry, Ijaz and Ali P.a..Group PAC ID 7911169420, 4 clinicians

Practice addresses (Care Compare)

11119 Rockville Pike
Suite 100
Rockville, MD 20852-3143
Phone (301) 816-9000

Hospital & facility affiliations

  • Adventist Healthcare White Oak Medical Center Hospital, Silver Spring, MD, CCN 210016
  • Suburban Hospital Hospital, Bethesda, MD, CCN 210022

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0053601MDMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Accessible Physician Home Care, LLC CurrentSince May 15, 2017 Accepting new patients
Choudry, Ijaz and Ali P.a. Cardiovascular Disease Current Accepting new patients
Adventist Healthcare, Inc. Cardiovascular Disease Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

10750 Columbia Pike
Ste 220
Silver Spring, MD 20901
Phone (202) 775-5111

526 N Henry St
Alexandria, VA 22314
Phone (203) 348-8110

Interoperability endpoints

  • Direct secure messaging: mohsin.ijaz.1@17856.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1497728760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11119 ROCKVILLE PIKE",
            "address_2": "SUITE 100",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523143",
            "telephone_number": "301-816-9000",
            "fax_number": "301-816-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11119 ROCKVILLE PIKE",
            "address_2": "SUITE 100",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523143",
            "telephone_number": "301-816-9000",
            "fax_number": "301-816-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IJAZ",
        "first_name": "MOHSIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0053601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.