Mandana Shahbazi, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0063534 Issued in MD

Practice address

25 Main Street
Suite 200
Reisterstown, MD 21136

Phone

(410) 526-8310

Fax

(410) 526-8316

NPI assigned

Jan 25, 2006

Last updated

Jan 14, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Greater Baltimore Medical Center, Inc

  dba GBMC Dept of OBGYN, L&D

  • Obstetrics & Gynecology Physician
  • Baltimore, MD
  • NPI 1891855763
  Medicare reassignment NPD
• Greater Baltimore Medical Center, Inc.

  dba Medical Hospitalists GBMC

  • Hospitalist Physician
  • Baltimore, MD
  • NPI 1275578106

  Internal Medicine

  NPD
• Greater Baltimore Medical Center, Inc.

  • Sleep Medicine (Internal Medicine) Physician
  • Baltimore, MD
  • NPI 1538029731
  NPD
• DRS Bob Lakhani Zibell Pierce & Miller

  dba Harmony Primary Care Associates

  • Internal Medicine Physician
  • Reisterstown, MD
  • NPI 1265405153
  NPD (past)
• American Current Care, P.a.

  dba Concentra Urgent Care

  • Health Service Clinic/Center
  • Addison, TX
  • NPI 1730360124
  NPD (past)

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1558331124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MAIN STREET",
            "address_2": "SUITE 200",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "21136",
            "telephone_number": "410-526-8310",
            "fax_number": "410-526-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MAIN STREET",
            "address_2": "SUITE 200",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "21136",
            "telephone_number": "410-526-8310",
            "fax_number": "410-526-8316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHBAZI",
        "first_name": "MANDANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0063534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408809300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lateshia Scott
• Sculpture32 Orthodontics, LLC (Shoe Orthodontics)
• Seed Fund
• Ashley M Sellman
• Serenity Pastoral Counseling Center
• Jameka Shaw, CNA, PCT
• Anne M. Sheehan, LCSW-C
• Sheppard Pratt
• Sheppard Pratt Health System, Inc. (The Forbush School at Glyndon)
• Sheppard Pratt Health System, Inc. (Hannah More School)

• Internal Medicine Physician in Reisterstown, MD
• Providers in Reisterstown, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.