Individual provider Active NPI

Mahboubeh Dadash Zadeh, MD

  • Pediatrics Physician
  • Towson, MD
National Provider Identifier
1528014974
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D32153 Issued in MD
Practice address
1109 Green Acre Road
Towson, MD 21286
Phone
(410) 821-1912
NPI assigned
May 26, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D32153 MD Primary

Addresses

Primary practice location

1109 Green Acre Road
Towson, MD 21286

Mailing address

1109 Green Acre Rd
Towson, MD 21286-1734
Phone (410) 821-1912

Other identifiers 1

IdentifierTypeStateIssuer
B70685OtherMDUPIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D32153MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dresnick Sterling Emergency Physicians of Maryland PA Past Accepting new patients
Dresnick Sterling Emergency Physicians of Maryland PA Past Accepting new patients
Dresnick/Sterling Pediatric Services of Maryland, PA Pediatrics Past Accepting new patients
Randall Emergency Physicians LLC Past Accepting new patients
Yardmore Emergency Physicians LLC Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1528014974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 GREEN ACRE RD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212861734",
            "telephone_number": "410-821-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 GREEN ACRE ROAD",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "21286",
            "telephone_number": "410-821-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DADASH ZADEH",
        "first_name": "MAHBOUBEH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D32153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "B70685",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.