Individual provider Active NPI

Farhad Naseh, MD

  • Specialist
  • Gaithersburg, MD
National Provider Identifier
1710176763
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0050523 Issued in MD
Practice address
6 Montgomery Village Ave
103
Gaithersburg, MD 20879-3546
Phone
(301) 840-2208
Fax
(301) 840-2210
NPI assigned
Oct 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0050523 MD Primary

Addresses

Primary practice location

6 Montgomery Village Ave
103
Gaithersburg, MD 20879-3546

Mailing address

6 Montgomery Village Ave
103
Gaithersburg, MD 20879-3546
Phone (301) 840-2208

Other identifiers 3

IdentifierTypeStateIssuer
682700400MedicaidMD
G02199OtherMEDICARE ID
G02199F01OtherMDMEDICARE INDIVIDUAL #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051214000381 DC Practitioner - Ophthalmology 0143267385 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Temple University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Farhad Naseh MD PAGroup PAC ID 2769403013, 3 clinicians

Practice addresses (Care Compare)

6 Montgomery Village Ave
Suite 103
Gaithersburg, MD 20879-3530
Phone (301) 840-2208

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery110

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Farhad Naseh MD PA CurrentSince Mar 9, 2004 Accepting new patients
Brooklyn Medical Eye Associate, LLC PastSince Oct 23, 1998 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6 Montgomery Village Ave
Ste 103
Gaithersburg, MD 20879
Phone (301) 840-2208

19211 Montgomery Village Ave
Ste B21
Montgomry Vlg, MD 20886
Phone (301) 840-2208

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1710176763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MONTGOMERY VILLAGE AVE",
            "address_2": "103",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793546",
            "telephone_number": "301-840-2208",
            "fax_number": "301-840-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MONTGOMERY VILLAGE AVE",
            "address_2": "103",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793546",
            "telephone_number": "301-840-2208",
            "fax_number": "301-840-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASEH",
        "first_name": "FARHAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-16",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0050523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "682700400",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "G02199",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL #",
            "identifier": "G02199F01",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.