Individual provider Active NPI

Parand Alavi, M.D.

  • Internal Medicine Physician
  • Glenn Dale, MD
National Provider Identifier
1801976139
Registry record updated Mar 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0058275 Issued in MD
Practice address
12150 Annapolis Rd
Suite 308
Glenn Dale, MD 20769-9183
Phone
(301) 805-0006
Fax
(301) 805-5757
NPI assigned
Oct 17, 2006
Last updated
Mar 23, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0058275 MD Primary

Addresses

Primary practice location

12150 Annapolis Rd
Suite 308
Glenn Dale, MD 20769-9183

Mailing address

PO Box 569
Greenbelt, MD 20768-0569
Phone (301) 982-0005

Other identifiers 1

IdentifierTypeStateIssuer
509906400MedicaidMD

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
I20080917000341 DC Practitioner - Internal Medicine 1557437852 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prime Medicine LLCGroup PAC ID 2264508761, 2 clinicians

Practice addresses (Care Compare)

12150 Annapolis Rd
Suite 308
Glenn Dale, MD 20769-9183
Phone (301) 805-0006

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Medicine LLC Internal Medicine CurrentSince Jan 1, 2008 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Matrix House Physicians PA Internal Medicine Past Accepting new patients

Locations

12150 Annapolis Rd
Ste 308
Glenn Dale, MD 20769
Phone (301) 805-0006

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332460800000",
    "number": "1801976139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 569",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207680569",
            "telephone_number": "301-982-0005",
            "fax_number": "301-982-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 ANNAPOLIS RD",
            "address_2": "SUITE 308",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699183",
            "telephone_number": "301-805-0006",
            "fax_number": "301-805-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAVI",
        "first_name": "PARAND",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2012-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0058275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "509906400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenn Dale, MD

Sources for this page

Verify at the official NPI Registry.