Active NPI
Mansoor Mozayan, MD
- Cardiovascular Disease Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- D0079563
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
310 W 9TH St
Frederick, MD 21701-4546
Phone (301) 694-5900
Hospital & facility affiliations
- Medstar Franklin Square Medical Center
- Frederick Health Hospital
- Medstar Good Samaritan Hospital
- Medstar Union Memorial Hospital
- Johns Hopkins Hospital, the
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.34 of 100
- Quality
- 67.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.47
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.94 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| D0079563 | MD | MD | Nuclear Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Heart Institute LLC | Cardiovascular Disease | Current | Accepting new patients |
| Medstar Medical Group II LLC | Current | 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.
-
- General Practice Physician
- Baltimore, MD
- NPI 1184046187
-
- Surgery Physician
- Washington, DC
- NPI 1528345378
Cardiovascular Disease, MD
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Internal Medicine Physician
- Washington, DC
- NPI 1376887844
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1184712085
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1811084718
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1578597993
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1487741427
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2015; 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.