Individual provider Active NPI

Hossein Tavassolie, M.D.

  • Gastroenterology Physician
  • Catonsville, MD
National Provider Identifier
1821071051
Registry record updated Aug 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
D18484 Issued in MD
Practice address
700 Geipe Rd
Suite 230
Catonsville, MD 21228-4147
Phone
(410) 247-7500
Fax
(410) 737-8424
NPI assigned
Nov 22, 2005
Last updated
Aug 8, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2014

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 D18484 MD Primary

Addresses

Primary practice location

700 Geipe Rd
Suite 230
Catonsville, MD 21228-4147

Mailing address

700 Geipe Rd
Suite 230
Catonsville, MD 21228-4147
Phone (410) 247-7500

Other identifiers 1

IdentifierTypeStateIssuer
020391201MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D18484MDMDGastroenterology Physician

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407456000000",
    "number": "1821071051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 GEIPE RD",
            "address_2": "SUITE 230",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284147",
            "telephone_number": "410-247-7500",
            "fax_number": "410-737-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 GEIPE RD",
            "address_2": "SUITE 230",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284147",
            "telephone_number": "410-247-7500",
            "fax_number": "410-737-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVASSOLIE",
        "first_name": "HOSSEIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2014-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D18484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020391201",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.