Negin Jesica Ahadi, MD
Individual provider Active NPI Hospitalist Physician · Baltimore, MD
NPI 1548429673 · NPPES record last updated Jun 1, 2012
Key facts
- NPI
- 1548429673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- D72981 (MD)
- Practice address
- 22 S Greene St
Baltimore, MD 21201-1544 - Phone
- (410) 328-2882
- Fax
- (410) 328-7607
- NPI assigned
- Jun 4, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Florida College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Maryland Physicians PA
Practice addresses (Care Compare)
22 S Green St
Baltimore, MD 21201-1544
22 S Greene Stre
Med Ctr GCRC Office
Baltimore, MD 21201-1544
Phone (410) 328-7877
Hospital & facility affiliations
- University of Maryland Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111019000872 | MD | Practitioner - Internal Medicine | 4183896988 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland Physicians, P.a. | Current |
Accepting new patients | |
| University of Maryland Physicians P.a. | Current |
Accepting new patients | |
| University of Maryland Physicians P.a. | Current | Accepting new patients | |
| University of Maryland Physicians PA | Current | Accepting new patients | |
| University of Maryland Physicians P.a. | Current | Accepting new patients | |
| University of Maryland Medical Center, LLC | Past | Accepting new patients |
Locations
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
Interoperability endpoints
- nahadi7342@direct.umm.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | D72981 | MD | Yes |
Addresses
Primary practice location
22 S Greene St
Baltimore, MD 21201-1544
Mailing address
PO Box 64442
Baltimore, MD 21264-4442
Phone (410) 328-2882
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 975349-01 & 02 | Other | MD | CAREFIRST BC/BS |
| S062-0448 | Other | MD | CAREFIRST BC/BS REGIONAL |
| 441510800 | Medicaid | MD |
NPI Registry JSON
{
"created_epoch": "1212537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338508800000",
"number": "1548429673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64442",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644442",
"telephone_number": "410-328-2882",
"fax_number": "410-328-7607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 S GREENE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011544",
"telephone_number": "410-328-2882",
"fax_number": "410-328-7607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHADI",
"first_name": "NEGIN",
"middle_name": "JESICA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-04",
"last_updated": "2012-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MD",
"license": "D72981",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BC/BS",
"identifier": "975349-01 & 02",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BC/BS REGIONAL",
"identifier": "S062-0448",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "441510800",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.