Active NPI
Tony T. Al-Amin, M.D.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Catonsville, MD
National Provider Identifier
1700917150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- D0068116
- Practice address
- 757 Frederick Rd
Suite 100
Catonsville, MD 21228-4500 - Phone
- (410) 747-2570
- Fax
- (410) 747-2538
- NPI assigned
- Mar 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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.
-
- Anesthesiology Physician
- Elkton, MD
- NPI 1851625594
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
757 Frederick Rd
Suite 100
Catonsville, MD 21228-4520
Phone (410) 747-2570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080918000114 | MD | Practitioner - Physical Medicine and Rehabilitation | 5496822371 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0068116 | MD | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| 25MA08050700 | NJ | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
| MD0068116 | MD | MD | Sports Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Pain Management | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Delmarva Anesthesia, LLC | Past | Accepting new patients |
Locations
757 Frederick Rd
Ste 100
Catonsville, MD 21228
Phone (410) 747-2570
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JBEECD/Endpoint/JBEECD
Specialties & licenses 6
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 25MA08050700 | NJ | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | C1-0008523 | DE | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | D0068116 | MD | Primary |
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 25MA08050700 | NJ | |
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | C1-0008523 | DE | |
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | MD0068116 | MD |
Addresses
NPPES NPI RegistryPrimary practice location
757 Frederick Rd
Suite 100
Catonsville, MD 21228-4500
Mailing address
747 Frederick Road
Suite 100
Catonsville, MD 21228
Phone (410) 747-2570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 22, 2011.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319241600000",
"number": "1700917150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "747 FREDERICK ROAD",
"address_2": "SUITE 100",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "21228",
"telephone_number": "410-747-2570",
"fax_number": "410-747-2538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "757 FREDERICK RD",
"address_2": "SUITE 100",
"city": "CATONSVILLE",
"state": "MD",
"postal_code": "212284500",
"telephone_number": "410-747-2570",
"fax_number": "410-747-2538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AL-AMIN",
"first_name": "TONY",
"middle_name": "T.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2011-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "NJ",
"license": "25MA08050700",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "DE",
"license": "C1-0008523",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "MD",
"license": "D0068116",
"primary": true
},
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "NJ",
"license": "25MA08050700",
"primary": false
},
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "DE",
"license": "C1-0008523",
"primary": false
},
{
"code": "2081S0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "MD",
"license": "MD0068116",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Catonsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2011; 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.