Individual provider Active NPI

Abdollah Shams Pirzadeh, MD

  • Specialist
  • Baltimore, MD
National Provider Identifier
1609953140
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0014789 Issued in MD
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

Updated by the provider on Jul 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
222430OtherMDMAMSI/OPT CHOICE
W0410001OtherMDFEDERAL BCBS
00941-1800MedicaidMA
36198001OtherMDBLUE CROSS BLUE SHIELD
521190322OtherMDTAX ID #
111923152OtherMDRAILROAD MEDICARE

Other names 1

  • Dr. A Shams Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051027000343 MD Practitioner - RheumatologyPractitioner - Pain Management 8123045317 Receives reassigned benefits from 1 practitioner
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0014789MDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
A. Shams Pirzadeh, M.D., PA Specialist PastSince Jan 1, 1975 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.

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.

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

Verify at the official NPI Registry.