Active NPI
Mohammad Miran, D.O.
- Sleep Medicine (Internal Medicine) Physician
- Hagerstown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- License
- H0083539
- Practice address
- 1110 Opal CT Ste 4&5
Hagerstown, MD 21740-5942 - Phone
- (301) 745-6392
- Fax
- (301) 745-6359
- NPI assigned
- Jun 4, 2006
- Last updated
- May 7, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | H0083539 | MD | Primary |
Addresses
Primary practice location
1110 Opal CT Ste 4&5
Hagerstown, MD 21740-5942
Mailing address
2105 Twin Peaks CT
Frederick, MD 21702-5916
Phone (516) 810-4496
Other practice location 1
12800 Middlebrook Rd
Germantown, MD 20874-5204
Phone (516) 810-4496
Other practice location 2
1701 Howell Rd
Hagerstown, MD 21740-6638
Phone (516) 810-4496
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1110 Opal CT
Suite 4And5
Hagerstown, MD 21740-5942
Phone (301) 745-6392
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Head & Neck Oncology Group of Central Jersey | Past | Accepting new patients | |
| Saint Peter's University Hospital | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/GCACBD/Endpoint/GCACBD
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.
-
- Primary Care Clinic/Center
- Hagerstown, MD
- NPI 1245743202
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Oncology Clinic/Center
- New Brunswick, NJ
- NPI 1063628113
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1114924834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525651200000",
"number": "1700824125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 TWIN PEAKS CT",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217025916",
"telephone_number": "516-810-4496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 OPAL CT STE 4&5",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217405942",
"telephone_number": "301-745-6392",
"fax_number": "301-745-6359"
}
],
"practiceLocations": [
{
"address_1": "12800 Middlebrook Rd",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "MD",
"postal_code": "208745204",
"country_code": "US",
"telephone_number": "516-810-4496",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1701 Howell Rd",
"address_purpose": "LOCATION",
"city": "Hagerstown",
"state": "MD",
"postal_code": "217406638",
"country_code": "US",
"telephone_number": "516-810-4496",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIRAN",
"first_name": "MOHAMMAD",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-04",
"last_updated": "2018-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "MD",
"license": "H0083539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.