Individual provider Active NPI

Bahram Nmi Erfan, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Rockville, MD
National Provider Identifier
1679557433
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
DO002236 Issued in MD
Practice address
5802 Nicholson LN Apt 804
Rockville, MD 20852-2967
Phone
(301) 881-8076
NPI assigned
Dec 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X DO002236 MD Primary

Addresses

Primary practice location

5802 Nicholson LN Apt 804
Rockville, MD 20852-2967

Mailing address

PO Box 2006
Greenbelt, MD 20768-2006
Phone (301) 881-8076

Other identifiers 1

IdentifierTypeStateIssuer
115181900MedicaidMD

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
I20080926000349 DC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Diagnostic RadiologyPractitioner - Thoracic SurgeryPractitioner - Vascular SurgeryPractitioner - Cardiac Surgery 9537236906

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO002236MDMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1679557433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2006",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207682006",
            "telephone_number": "301-881-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5802 NICHOLSON LN APT 804",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208522967",
            "telephone_number": "301-881-8076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERFAN",
        "first_name": "BAHRAM",
        "middle_name": "NMI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MD",
            "license": "DO002236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115181900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.