Individual provider Active NPI

Mansoor Mozayan, MD

  • Cardiovascular Disease Physician
  • Baltimore, MD
National Provider Identifier
1548494529
Registry record updated Jul 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D0079563 Issued in MD
Practice address
9105 Franklin Square Dr Ste 209
Baltimore, MD 21237-3958
Phone
(410) 574-1330
Fax
(410) 574-2691
NPI assigned
May 6, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D0079563 MD Primary
Nuclear Cardiology Physician 207UN0901X D0079563 MD

Addresses

Primary practice location

9105 Franklin Square Dr Ste 209
Baltimore, MD 21237-3958

Mailing address

9105 Franklin Square Dr Ste 209
Baltimore, MD 21237-3958
Phone (410) 574-1330

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
I20150817002432 MD Practitioner - Cardiovascular Disease (Cardiology) 4183863731 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
Medstar Heart Institute LLCGroup PAC ID 5698932960, 308 clinicians

Practice addresses (Care Compare)

310 W 9TH St
Frederick, MD 21701-4546
Phone (301) 694-5900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

Merit-based Incentive Payment System (MIPS)

Final score
85.94 of 100Reported as group
Quality
66.29
Promoting interoperability
100
Improvement activities
40
Cost
74.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0079563MDMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Heart Institute LLC Cardiovascular Disease CurrentSince Mar 1, 2024 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jul 31, 2015 Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3333 N Calvert St
Ste Ll
Baltimore, MD 21218
Phone (410) 235-7113

3333 N Calvert St
Baltimore, MD 21218
Phone (410) 235-5405

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

310 W 9th St
Frederick, MD 21701
Phone (301) 694-5900

110 Thomas Johnson Dr
Frederick, MD 21702
Phone (202) 877-7685

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

9105 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 574-1330

9105 Franklin Square Dr
Ste 209
Rosedale, MD 21237
Phone (410) 574-1330

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 5

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": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437868800000",
    "number": "1548494529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9105 FRANKLIN SQUARE DR STE 209",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373958",
            "telephone_number": "410-574-1330",
            "fax_number": "410-574-2691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9105 FRANKLIN SQUARE DR STE 209",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373958",
            "telephone_number": "410-574-1330",
            "fax_number": "410-574-2691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOZAYAN",
        "first_name": "MANSOOR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-06",
        "last_updated": "2015-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0079563",
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "MD",
            "license": "D0079563",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.