Individual provider Active NPI

Ali Shabahang Saber Tehrani, M.D.

  • Neurology Physician
  • Balitmore, MD
National Provider Identifier
1619319472
Registry record updated Apr 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
D0085132 Issued in MD
Practice address
600 N Wolfe Street
Phipps Building, Suite 793
Balitmore, MD 21287
Phone
(309) 655-2702
NPI assigned
Jul 22, 2013
Last updated
Apr 5, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 125064269 IL
Neurology Physician 2084N0400X D0085132 MD Primary

Addresses

Primary practice location

600 N Wolfe Street
Phipps Building, Suite 793
Balitmore, MD 21287

Mailing address

600 N. Wolfe Street, Phipps Building,
Phipps Building, Suite 493
Baltimore, MD 21287
Phone (410) 955-2228

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
I20191121002541 MD Practitioner - Neurology 3678894508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Johns Hopkins UniversityGroup PAC ID 8921903147, 2,886 clinicians

Practice addresses (Care Compare)

1800 Orleans St
Baltimore, MD 21287-0010
Phone (410) 955-5000

4940 Eastern Ave
Baltimore, MD 21224-2735
Phone (410) 550-0100

600 N Wolf St
Baltimore, MD 21287-0005
Phone (410) 955-5000

600 N Wolfe St
Blalock 266
Baltimore, MD 21287-0005
Phone (410) 502-4340

601 N Caroline St
Baltimore, MD 21287-0006
Phone (410) 955-5080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.31 of 100Reported as group
Quality
73.89
Promoting interoperability
100
Improvement activities
40
Cost
70.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125064269ILMDNeurology Physician
D0085132MDMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University Neurology CurrentSince Oct 1, 2019 Accepting new patients
Johns Hopkins University CurrentSince Oct 1, 2019 Accepting new patients
Johns Hopkins University Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

600 N Wolfe St
Baltimore, MD 21287

600 N Wolfe St
#446
Baltimore, MD 21287
Phone (410) 614-2381

600 N Wolfe St
Ste 493
Baltimore, MD 21287

600 N Wolfe St
Ste 793
Baltimore, MD 21287
Phone (309) 655-2702

Interoperability endpoints

  • Direct secure messaging: asabertehrani453021@direct.hopkinsmedicine.org

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554422400000",
    "number": "1619319472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N. WOLFE STREET, PHIPPS BUILDING,",
            "address_2": "PHIPPS BUILDING, SUITE 493",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21287",
            "telephone_number": "410-955-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N WOLFE STREET",
            "address_2": "PHIPPS BUILDING, SUITE 793",
            "city": "BALITMORE",
            "state": "MD",
            "postal_code": "21287",
            "telephone_number": "309-655-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABER TEHRANI",
        "first_name": "ALI",
        "middle_name": "SHABAHANG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-22",
        "last_updated": "2019-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "125064269",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D0085132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Balitmore, MD

Sources for this page

Verify at the official NPI Registry.