Individual provider Active NPI

Saeedeh Jomehdokht, MD

  • Family Medicine Physician
  • Gaithersburg, MD
National Provider Identifier
1770738932
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101252211 Issued in VA
Practice address
18041 Fence Post CT
Gaithersburg, MD 20877-3795
Phone
(301) 330-3194
NPI assigned
Dec 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101252211 VA Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X D0075337 MD

Addresses

Primary practice location

18041 Fence Post CT
Gaithersburg, MD 20877-3795

Mailing address

18041 Fence Post CT
Gaithersburg
Gaithersburg, MD 20877-3795
Phone (301) 330-3194

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
D0075337MDMDGeriatric Medicine (Family Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487289600000",
    "number": "1770738932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18041 FENCE POST CT",
            "address_2": "GAITHERSBURG",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208773795",
            "telephone_number": "301-330-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18041 FENCE POST CT",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208773795",
            "telephone_number": "301-330-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOMEHDOKHT",
        "first_name": "SAEEDEH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-01",
        "last_updated": "2017-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101252211",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MD",
            "license": "D0075337",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.