Individual provider Active NPI

Ataollah Filsoof Nazemi, MD

  • Internal Medicine Physician
  • Baltimore, MD
National Provider Identifier
1568545432
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0017322 Issued in MD
Practice address
6615 Reisterstown Rd Ste 205a
MD.Physcians Assoc,
Baltimore, MD 21215-2690
Phone
(410) 486-2298
Fax
(410) 358-6551
NPI assigned
Oct 23, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0017322 MD Primary

Addresses

Primary practice location

6615 Reisterstown Rd Ste 205a
MD.Physcians Assoc,
Baltimore, MD 21215-2690

Mailing address

7101 Ridgeleigh CT
Baltimore, MD 21212-1624
Phone (410) 377-6813

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0017322MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Physicians Associates Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568545432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 RIDGELEIGH CT",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212121624",
            "telephone_number": "410-377-6813",
            "fax_number": "410-377-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6615 REISTERSTOWN RD STE 205A",
            "address_2": "MD.PHYSCIANS ASSOC,",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212152690",
            "telephone_number": "410-486-2298",
            "fax_number": "410-358-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZEMI",
        "first_name": "ATAOLLAH",
        "middle_name": "FILSOOF",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0017322",
            "primary": true
        }
    ],
    "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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.