Individual provider Active NPI

Tony T. Al-Amin, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Catonsville, MD
National Provider Identifier
1700917150
Registry record updated Oct 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
D0068116 Issued in MD
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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
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
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20080918000114 MD Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 5496822371 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0068116MDMDPain Medicine (Physical Medicine & Rehabilitation) Physician
25MA08050700NJMDPain Medicine (Physical Medicine & Rehabilitation) Physician
MD0068116MDMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Pain Management CurrentSince Oct 11, 2017 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBEECD/Endpoint/JBEECD

Specialties & licenses 6

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
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 Registry

Primary 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

Verify at the official NPI Registry.