Individual provider Active NPI

Ebrahim Talebi Quje, M.D.

  • Rheumatology Physician
  • Catonsville, MD
National Provider Identifier
1861783243
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
D0077582 Issued in MD
Practice address
700 Geipe Road
Suite 200
Catonsville, MD 21228
Phone
(410) 744-0661
Fax
(410) 744-8036
NPI assigned
Apr 20, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X D0077582 MD Primary

Addresses

Primary practice location

700 Geipe Road
Suite 200
Catonsville, MD 21228

Mailing address

700 Geipe Road
Sutie 200
Catonsville, MD 21228
Phone (410) 744-0661

Other practice location 1

201 E University Pkwy
Department of Medicine
Baltimore, MD 21218-2829
Phone (410) 554-2284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20170619000260 MD Practitioner - RheumatologyPractitioner - Geriatric MedicinePractitioner - Internal Medicine 7810296910 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Geriatric Medicine, Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nasseri Clinic of Arthritic and Rheumatic Diseases LLCGroup PAC ID 4981684487, 8 clinicians

Practice addresses (Care Compare)

700 Geipe Rd
Suite 200
Catonsville, MD 21228-4176
Phone (410) 744-0661

Hospital & facility affiliations

  • Medstar Union Memorial Hospital Hospital, Baltimore, MD, CCN 210024

Merit-based Incentive Payment System (MIPS)

Final score
91.95 of 100Reported as individual
Quality
83.31
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0077582MDMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Agnes Healthcare Inc CurrentSince Aug 21, 2018 Accepting new patients
Nasseri Clinic of Arthritic & Rheumatic Diseases LLC Rheumatology CurrentSince Jul 31, 2017 Accepting new patients
St Agnes Healthcare Inc CurrentSince Aug 21, 2018 Accepting new patients
Nasseri Clinic of Arthritic & Rheumatic Diseases LLC CurrentSince Jul 31, 2017 Accepting new patients
Nasseri Clinic of Arthritic and Rheumatic Diseases LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

3333 N Calvert St
Ste 570
Baltimore, MD 21218
Phone (410) 235-6565

700 Geipe Rd
Ste 200
Catonsville, MD 21228
Phone (410) 292-0038

724 Maiden Choice Ln
Ste 204
Catonsville, MD 21228
Phone (410) 744-6544

700 Geipe Rd
Ste 266
Catonsville, MD 21228
Phone (410) 971-0642

5500 Knoll North Dr
Ste 250
Columbia, MD 21045
Phone (410) 772-6312

203 Hospital Dr
Ste 300
Glen Burnie, MD 21061
Phone (410) 766-4111

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IGJGAA

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 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": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1861783243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 GEIPE ROAD",
            "address_2": "SUTIE 200",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "21228",
            "telephone_number": "410-744-0661",
            "fax_number": "410-744-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 GEIPE ROAD",
            "address_2": "SUITE 200",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "21228",
            "telephone_number": "410-744-0661",
            "fax_number": "410-744-8036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 E University Pkwy",
            "address_2": "Department of Medicine",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212182829",
            "country_code": "US",
            "telephone_number": "410-554-2284",
            "fax_number": "410-554-2184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALEBI QUJE",
        "first_name": "EBRAHIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-20",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MD",
            "license": "D0077582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

Verify at the official NPI Registry.