Active NPI
Farzana Ajmal, MD
- Geriatric Medicine (Family Medicine) Physician
- Germantown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- D0065301
- Practice address
- 19731 Executive Park Cir
Germantown, MD 20874-2642 - Phone
- (301) 540-1332
- Fax
- (301) 576-7146
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | D0065301 | MD | Primary |
Addresses
Primary practice location
19731 Executive Park Cir
Germantown, MD 20874-2642
Mailing address
19731 Executive Park Cir
Germantown, MD 20874-2642
Phone (301) 540-1332
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
13225 Executive Park Ter
Germantown, MD 20874-2648
Phone (301) 540-1332
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Med Clinic PA | Current | Accepting new patients | |
| My Med Clinic PA | Geriatric Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
19731 Executive Park Cir
Germantown, MD 20874
Phone (301) 540-1332
19506 Doctors Dr
Germantown, MD 20874
Phone (301) 515-4311
13225 Executive Park Ter
Germantown, MD 20874
Phone (202) 584-9346
Interoperability endpoints
- farzana.ajmal.1@20968.direct.athenahealth.com
- https://api.platform.athenahealth.com/20968/brand/1/csg/1/fhir/r4
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.
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-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402531200000",
"number": "1497841563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19731 EXECUTIVE PARK CIR",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208742642",
"telephone_number": "301-540-1332",
"fax_number": "301-576-7146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19731 EXECUTIVE PARK CIR",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208742642",
"telephone_number": "301-540-1332",
"fax_number": "301-576-7146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AJMAL",
"first_name": "FARZANA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2014-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "MD",
"license": "D0065301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; 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.