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

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 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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 (395 clinicians)

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 Hospital · Baltimore, MD · CCN 210002

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 IDStateProvider typePAC IDDetails
I20111019000872 MD Practitioner - Internal Medicine 4183896988 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Physicians, P.a. Current
since Oct 1, 2011
Accepting new patients
University of Maryland Physicians P.a. Current
since Oct 1, 2011
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

  • Direct secure messaging: nahadi7342@direct.umm.edu

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
975349-01 & 02OtherMDCAREFIRST BC/BS
S062-0448OtherMDCAREFIRST BC/BS REGIONAL
441510800MedicaidMD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 1, 2012.

{
    "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": []
}

Other providers in Baltimore, MD

All providers in Baltimore, MD · Hospitalist Physician in Maryland

Sources for this page

Verify at the official NPI Registry.