Active NPI
Abdollah Shams Pirzadeh, MD
- Specialist
- Baltimore, MD
National Provider Identifier
1609953140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D0014789
- Practice address
- 716 Maiden Choice LN
Suite 301
Baltimore, MD 21228-5943 - Phone
- (410) 788-2000
- Fax
- (410) 455-9881
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D0014789 | MD | Primary |
Addresses
Primary practice location
716 Maiden Choice LN
Suite 301
Baltimore, MD 21228-5943
Mailing address
716 Maiden Choice LN
Suite 301
Baltimore, MD 21228-5943
Phone (410) 788-2000
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 222430 | Other | MD | MAMSI/OPT CHOICE |
| W0410001 | Other | MD | FEDERAL BCBS |
| 00941-1800 | Medicaid | MA | |
| 36198001 | Other | MD | BLUE CROSS BLUE SHIELD |
| 521190322 | Other | MD | TAX ID # |
| 111923152 | Other | MD | RAILROAD MEDICARE |
Other names 1
- Dr. A Shams
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0014789 | MD | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A. Shams Pirzadeh, M.D., PA | Specialist | Past | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| St. Agnes Healthcare, Inc. | Past | Accepting new patients |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Electrophysiology Physical Therapist
- Towson, MD
- NPI 1851438345
Organizations & group practices 3
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.
-
- Specialist
- Baltimore, MD
- NPI 1104235456
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1245274901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343174400000",
"number": "1609953140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "716 MAIDEN CHOICE LN",
"address_2": "SUITE 301",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212285943",
"telephone_number": "410-788-2000",
"fax_number": "410-465-9881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 MAIDEN CHOICE LN",
"address_2": "SUITE 301",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212285943",
"telephone_number": "410-788-2000",
"fax_number": "410-455-9881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAMS PIRZADEH",
"first_name": "ABDOLLAH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2012-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MD",
"license": "D0014789",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI/OPT CHOICE",
"identifier": "222430",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL BCBS",
"identifier": "W0410001",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00941-1800",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "36198001",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "521190322",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "111923152",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "A",
"last_name": "SHAMS",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
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 25, 2012; 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.