Individual provider Active NPI

Jafar Z. Salmassi, M.D.

  • Internal Medicine Physician
  • Fulton, MD
National Provider Identifier
1700826492
Registry record updated Jul 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0066699 Issued in MD
Practice address
12214 Pleasant Springs CT
Fulton, MD 20759-9647
Phone
(571) 283-4203
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0066699 MD Primary

Addresses

Primary practice location

12214 Pleasant Springs CT
Fulton, MD 20759-9647

Mailing address

12214 Pleasant Springs CT
Fulton, MD 20759-9647

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0066699MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greenbrier Emergency Services, Inc. Emergency Medicine Past Accepting new patients
Community Health Association Past Accepting new patients
Marshall Emergency Services Associates, PLLC Emergency Medicine Past Accepting new patients
Virginia Emergency Physicians LLP Emergency Medicine Past Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients
Columbia Healthcare of Central Virginia Inc PastSince Apr 1, 2019 Accepting new patients
Virginia Emergency Physicians LLP Emergency Medicine Past Accepting new patients
Northern Virginia Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Virginia Emergency Physicians LLP Emergency Medicine Past Accepting new patients

Organizations & group practices 9

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720310400000",
    "number": "1700826492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12214 PLEASANT SPRINGS CT",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207599647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12214 PLEASANT SPRINGS CT",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207599647",
            "telephone_number": "571-283-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALMASSI",
        "first_name": "JAFAR",
        "middle_name": "Z.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2024-07-07",
        "certification_date": "2024-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0066699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, MD

Sources for this page

Verify at the official NPI Registry.