Individual provider Active NPI

Radman Mostaghim, M.D.

  • Gastroenterology Physician
  • Greenbelt, MD
National Provider Identifier
1720022023
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
D0046093 Issued in MD
Practice address
7305 Hanover Pkwy
Suite a
Greenbelt, MD 20770-2030
Phone
(301) 982-7900
Fax
(301) 982-4465
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X D0046093 MD Primary

Addresses

Primary practice location

7305 Hanover Pkwy
Suite a
Greenbelt, MD 20770-2030

Mailing address

7305 Hanover Pkwy
Suite a
Greenbelt, MD 20770-2030
Phone (301) 982-7900

Other identifiers 11

IdentifierTypeStateIssuer
110083708OtherMDRAILROAD MEDICARE
287603OtherMDALLIANCE/MAMSI
23011OtherMDJOHNS HOPKINS HEALTHCARE
4566293OtherMDAETNA
1720022023OtherMDSOLO NPI# 1720022023
185840OtherDCDC MEDICARE GROUP PTAN
1421392OtherMDCIGNA
4768 0001OtherMDCAREFIRST
570371OtherDCDC MEDICARE SOLO PTAN
1942526561OtherMDGROUP NPI #1942526561
342351400MedicaidMD

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
I20100911000065 DC Practitioner - GastroenterologyPractitioner - Internal Medicine 2365346087 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
George Washington University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Moshyedi and Mostaghim MD PAGroup PAC ID 2769507979, 6 clinicians

Practice addresses (Care Compare)

7305 Hanover Pkwy
Suite a
Greenbelt, MD 20770-3665
Phone (301) 982-7900

Hospital & facility affiliations

  • Luminis Health Doctors Community Medical Ctr, Inc Hospital, Lanham, MD, CCN 210051
  • Luminis Health Anne Arundel Medical Center, Inc Hospital, Annapolis, MD, CCN 210023

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy342
Upper gastrointestinal (GI) endoscopy for acid reflux149

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0046093MDMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Moshyedi & Mostaghim MD PA Gastroenterology CurrentSince Jun 1, 2010 Accepting new patients
Greenbelt Endoscopy Center, LLC CurrentSince Nov 24, 2009 Accepting new patients
Greenbelt Endoscopy Center,LLC CurrentSince May 22, 2013 Accepting new patients
Ata O Moshyedi MD PA Gastroenterology Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

7305 Hanover Pkwy
Ste A
Greenbelt, MD 20770
Phone (301) 982-7900

9821 Greenbelt Rd
Ste 103
Lanham, MD 20706
Phone (301) 552-1801

9821 Greenbelt Rd
Ste 104
Lanham, MD 20706
Phone (301) 202-8392

8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1720022023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7305 HANOVER PKWY",
            "address_2": "SUITE A",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702030",
            "telephone_number": "301-982-7900",
            "fax_number": "301-982-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7305 HANOVER PKWY",
            "address_2": "SUITE A",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702030",
            "telephone_number": "301-982-7900",
            "fax_number": "301-982-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSTAGHIM",
        "first_name": "RADMAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D0046093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110083708",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE/MAMSI",
            "identifier": "287603",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHNS HOPKINS HEALTHCARE",
            "identifier": "23011",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4566293",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOLO NPI# 1720022023",
            "identifier": "1720022023",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC MEDICARE GROUP PTAN",
            "identifier": "185840",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1421392",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "4768 0001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC MEDICARE SOLO PTAN",
            "identifier": "570371",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI #1942526561",
            "identifier": "1942526561",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "342351400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.