Individual provider Active NPI

Sarim Rahman Mir, M.D.

  • Neurology Physician
  • Hagerstown, MD
National Provider Identifier
1497793087
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
D0050807 Issued in MD
Practice address
11110 Medical Campus Rd Ste 151
Hagerstown, MD 21742-6755
Phone
(301) 797-7600
Fax
(301) 517-7636
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X D0050807 MD Primary

Addresses

Primary practice location

11110 Medical Campus Rd Ste 151
Hagerstown, MD 21742-6755

Mailing address

11110 Medical Campus Rd Ste 151
Hagerstown, MD 21742-6755
Phone (301) 797-7600

Other practice location 1

924 Seton Dr Ste C
Cumberland, MD 21502-1851
Phone (301) 797-7600

Other identifiers 16

IdentifierTypeStateIssuer
177103500OtherMDMAMD
441331OtherMDMAMSI
545515OtherMDAET
M1908976OtherMDBSPA
0090506000OtherWVWVMA
0500381OtherMDUNITED HEALTH CARE
522091771003OtherMDCIGNA
DC5469OtherMDMEDICARE RR
130018253OtherMDCHES
OM34OtherMDBCBS
130018253OtherMDMBRR
886M655FOtherMDMBMD
130018253OtherMDMEDICARE RR-INDIVIDUAL
1524420OtherUMW
177103500MedicaidMD
OM34OtherMDBCPC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20040720000104 MD Practitioner - Neurology 8426037623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians
Mir Neurology Center PAGroup PAC ID 7618956814, 7 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

11110 Medical Campus Rd
Hagerstown, MD 21742-6716

11110 Medical Campus Rd
Suite 151
Hagerstown, MD 21742-6755
Phone (301) 797-7600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.34 of 100Reported as individual
Quality
38.53
Improvement activities
40
Cost
77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0050807MDMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mir Neurology Center PA Neurology CurrentSince Jan 1, 1990 Accepting new patients
Mir Neurology Center PA Neurology CurrentSince Jul 18, 1997 Accepting new patients
Meritus Medical Laboratory LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

924 Seton Dr
Ste C
Cumberland, MD 21502
Phone (301) 797-7600

902 Seton Dr
Ste 306
Cumberland, MD 21502
Phone (301) 722-3777

11110 Medical Campus Rd
Ste 151
Hagerstown, MD 21742
Phone (301) 722-3777

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/75761
  • Direct secure messaging: sarimmir@mncmd.allscriptsdirect.net

Organizations & group practices 4

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 10

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1497793087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD STE 151",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426755",
            "telephone_number": "301-797-7600",
            "fax_number": "301-517-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD STE 151",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426755",
            "telephone_number": "301-797-7600",
            "fax_number": "301-517-7636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "924 Seton Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215021851",
            "country_code": "US",
            "telephone_number": "301-797-7600",
            "fax_number": "301-517-7636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIR",
        "first_name": "SARIM",
        "middle_name": "RAHMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D0050807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMD",
            "identifier": "177103500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "441331",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AET",
            "identifier": "545515",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSPA",
            "identifier": "M1908976",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WVMA",
            "identifier": "0090506000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "0500381",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "522091771003",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "DC5469",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHES",
            "identifier": "130018253",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "OM34",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBRR",
            "identifier": "130018253",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBMD",
            "identifier": "886M655F",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR-INDIVIDUAL",
            "identifier": "130018253",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMW",
            "identifier": "1524420",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177103500",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCPC",
            "identifier": "OM34",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.