Individual provider Active NPI

Ramin Farboudmanesch, MD

  • Gastroenterology Physician
  • Chevy Chase, MD
National Provider Identifier
1669433215
Registry record updated Jan 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD33797 Issued in DC
Practice address
5454 Wisconsin Ave
1045
Chevy Chase, MD 20815-6901
Phone
(202) 450-6081
Fax
(202) 450-6084
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD33797 DC Primary

Addresses

Primary practice location

5454 Wisconsin Ave
1045
Chevy Chase, MD 20815-6901

Mailing address

1160 Varnum St NE
212
Washington, DC 20017-2107
Phone (202) 450-6081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20041222000619 DC Practitioner - Gastroenterology 2062490774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
George Washington University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ramin Farboud MD PCGroup PAC ID 8123163532, 2 clinicians

Practice addresses (Care Compare)

1160 Varnum St NE
Suite 212
Washington, DC 20017-2106
Phone (301) 662-4828

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy113
Upper gastrointestinal (GI) endoscopy for acid reflux41

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ramin Farboud MD PC Gastroenterology CurrentSince Nov 30, 2009 Accepting new patients
Washington Hospital Center Corp Past Accepting new patients
Pantea Tamjidi MD PC PastSince Jul 9, 2010 Accepting new patients

Locations

1160 Varnum St NE
Ste 212
Washington, DC 20017
Phone (202) 450-6081

1160 Varnum St NE
Ste 311
Washington, DC 20017
Phone (202) 832-0167

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

5454 Wisconsin Ave
Ste 104
Chevy Chase, MD 20815
Phone (301) 652-4828

5454 Wisconsin Ave
Ste 1045
Chevy Chase, MD 20815
Phone (301) 652-4828

6475 New Hampshire Ave
Ste 150
Hyattsville, MD 20783
Phone (301) 270-0022

8100 Boone Blvd
Ste 300
Vienna, VA 22182
Phone (301) 652-4828

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.

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1669433215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 VARNUM ST NE",
            "address_2": "212",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200172107",
            "telephone_number": "202-450-6081",
            "fax_number": "202-450-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 WISCONSIN AVE",
            "address_2": "1045",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156901",
            "telephone_number": "202-450-6081",
            "fax_number": "202-450-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARBOUDMANESCH",
        "first_name": "RAMIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "DC",
            "license": "MD33797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.