Individual provider Active NPI

Zafir Kamil Kalamadeen, M.D.

  • Pediatrics Physician
  • Upper Marlboro, MD
National Provider Identifier
1639464670
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0078070 Issued in MD
Practice address
9692 Pennsylvania Ave
Upper Marlboro, MD 20772-3670
Phone
(301) 645-0300
NPI assigned
Jun 17, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0078070 MD Primary

Addresses

Primary practice location

9692 Pennsylvania Ave
Upper Marlboro, MD 20772-3670

Mailing address

9692 Pennsylvania Ave
Upper Marlboro, MD 20772-3670
Phone (301) 645-0300

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
I20231113003259 MD Practitioner - Pediatric Medicine 3375990369 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0078070MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hollis Seunarine Mdpa LLC CurrentSince Sep 8, 2023 Accepting new patients
Park Heights Medical Clinic LLC Past Accepting new patients

Locations

5010 York Rd
Baltimore, MD 21212
Phone (410) 433-2200

301 International Cir
Hunt Valley, MD 21030
Phone (410) 433-2200

Organizations & group practices 2

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": "1308268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406160000000",
    "number": "1639464670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9692 PENNSYLVANIA AVE",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723670",
            "telephone_number": "301-645-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9692 PENNSYLVANIA AVE",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723670",
            "telephone_number": "301-645-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALAMADEEN",
        "first_name": "ZAFIR",
        "middle_name": "KAMIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-17",
        "last_updated": "2014-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0078070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

Verify at the official NPI Registry.