Mustafa Azimi

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

R210415 Issued in MD

Practice address

400 W 7TH St
Frederick, MD 21701-4506

Phone

(240) 566-3300

NPI assigned

Nov 10, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Johns Hopkins Community Physicians, IncGroup PAC ID 8325943707, 764 clinicians

Family Urology AssociatesGroup PAC ID 8628318524, 4 clinicians

Frederick Health Medical Group LLCGroup PAC ID 9931341096, 200 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Frederick Health Hospital Hospital, Frederick, MD, CCN 210005
• Johns Hopkins Howard County Medical Center Hospital, Columbia, MD, CCN 210048

Merit-based Incentive Payment System (MIPS)

Final score

87.23 of 100Reported as group

Quality

80.47

Promoting interoperability

100

Improvement activities

40

Cost

76.96

Merit-based Incentive Payment System (MIPS)

Final score

83.07 of 100Reported as group

Quality

75.5

Promoting interoperability

100

Improvement activities

40

Cost

68.06

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18739/brand/1/csg/1/fhir/r4

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.

• Family Urology Associates

  • Urology Physician
  • Frederick, MD
  • NPI 1972077261

  MD

  Medicare reassignment Care Compare group NPD
• Frederick Health Medical Group LLC

  • Family Medicine Physician
  • Frederick, MD
  • NPI 1619258225

  MD

  Medicare reassignment Care Compare group NPD
• Johns Hopkins Community Physicians, Inc

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1578598868

  DC, MD

  Medicare reassignment Care Compare group NPD
• Johns Hopkins Community Physicians, Inc

  • Family Medicine Physician
  • Baltimore, MD
  • NPI 1770518003
  Care Compare group NPD
• Synergy Medical Group LLC

  • Vascular Surgery Physician
  • Timonium, MD
  • NPI 1679363089

  DC

  Medicare reassignment
• Synergy Medical Group LLC

  • Internal Medicine Physician
  • Lutherville, MD
  • NPI 1912736901

  MD

  Medicare reassignment
• Frederick Health Medical Group LLC

  • Health Educator
  • Frederick, MD
  • NPI 1548831894
  Care Compare group
• Johns Hopkins Community Physicians, Inc

  • Physical Medicine & Rehabilitation Physician
  • Lutherville, MD
  • NPI 1134940299
  Care Compare group
• Johns Hopkins Community Physicians, Inc

  • Physical Medicine & Rehabilitation Physician
  • Nottingham, MD
  • NPI 1194546192
  Care Compare group
• Johns Hopkins Community Physicians, Inc

  • Physical Medicine & Rehabilitation Physician
  • Lutherville Timonium, MD
  • NPI 1215759881
  Care Compare group
• Johns Hopkins Community Physicians, Inc

  • Physical Medicine & Rehabilitation Physician
  • Odenton, MD
  • NPI 1669293668
  Care Compare group
• Johns Hopkins Community Physicians, Inc

  • Physical Medicine & Rehabilitation Physician
  • Columbia, MD
  • NPI 1821819905
  Care Compare group

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

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527

  Hospital

  Care Compare affiliation
• Howard County General Hospital, Inc,

  • General Acute Care Hospital
  • Columbia, MD
  • NPI 1144291899

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1568064046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HARNESS CT APT 203",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212086720",
            "telephone_number": "301-335-2586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W 7TH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014506",
            "telephone_number": "240-566-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZIMI",
        "first_name": "MUSTAFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R210415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Salar Azad, DDS
• Azalea Coaching LLC
• Azalea Mental Health LLC
• Sandy Azer
• Amreen Sajjad Aziz, MD
• Sajjad Ahmad Aziz, MD
• Nada Azmy, LCPC
• Babak Ganjavian DDS PC
• Back 2 Basics Nutrition LLC

• All providers in Frederick, MD
• Acute Care Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.

Verify at the official NPI Registry.