Organization Active NPI

Darab Hormozi MD PA

  • Ophthalmology Physician
  • Towson, MD
National Provider Identifier
1801066436
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0035686 Issued in MD
Legal business name
DARAB HORMOZI MD PA
Practice address
8415 Bellona LN
Suite 212
Towson, MD 21204-2055
Phone
(410) 825-4022
Fax
(410) 825-6439
NPI assigned
Mar 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Dr. Darab Hormozi, M.D.NPI 1346316098
Title
President
Phone
(410) 825-4022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X D0035686 MD Primary

Addresses

Primary practice location

8415 Bellona LN
Suite 212
Towson, MD 21204-2055

Mailing address

8415 Bellona LN Ste 212
Towson, MD 21204-2066
Phone (410) 825-4022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101123000629 MD Part B Supplier - Clinic/Group Practice 6406042993 Receives reassigned benefits from 1 practitioner
Practice locations: Towson, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1801066436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 BELLONA LN STE 212",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042066",
            "telephone_number": "410-825-4022",
            "fax_number": "410-825-6439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8415 BELLONA LN",
            "address_2": "SUITE 212",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042055",
            "telephone_number": "410-825-4022",
            "fax_number": "410-825-6439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARAB HORMOZI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "HORMOZI",
        "authorized_official_first_name": "DARAB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-825-4022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0035686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.