Individual provider Active NPI

Mohammad Miran, D.O.

  • Sleep Medicine (Internal Medicine) Physician
  • Hagerstown, MD
National Provider Identifier
1700824125
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
H0083539 Issued in MD
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160422001618 VA Practitioner - Internal MedicinePractitioner - Other (Physician) 2466461538
I20180124000591 MD Practitioner - Internal MedicinePractitioner - Other (Physician)Practitioner - Sleep Medicine 2466461538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Sleep 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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew 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

  • FHIR API: https://api.platform.athenahealth.com/8568/brand/1/csg/1/fhir/r4
  • FHIR API: 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.

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

Verify at the official NPI Registry.