Individual provider Active NPI

Amir Manoochehri

  • Hospitalist Physician
  • Baltimore, MD
National Provider Identifier
1871906156
Registry record updated Aug 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
D83740 Issued in MD
Practice address
22 S Greene St RM N3E09
Baltimore, MD 21201-1544
Phone
(410) 328-6110
NPI assigned
Jun 4, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X D83740 MD Primary

Addresses

Primary practice location

22 S Greene St RM N3E09
Baltimore, MD 21201-1544

Mailing address

5200 Eastern Ave
MFL West Tower, 6TH Floor
Baltimore, MD 21224-2734
Phone (240) 994-1082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170914000042 MD Practitioner - HospitalistPractitioner - Internal Medicine 1456659937 Reassigns benefits to 2 organizations
I20180118000620 DC Practitioner - HospitalistPractitioner - Internal Medicine 1456659937 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D83740MDMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University CurrentSince Aug 15, 2017 Accepting new patients
Johns Hopkins Community Physicians CurrentSince Nov 28, 2017 Accepting new patients
Johns Hopkins Community Physicians, Inc CurrentSince Nov 28, 2017 Accepting new patients
Johns Hopkins Community Physicians, Inc Hospitalist Current Accepting new patients
Johns Hopkins University CurrentSince Aug 15, 2017 Accepting new patients
Johns Hopkins Community Physicians, Inc Hospitalist CurrentSince Nov 28, 2017 Accepting new patients
Johns Hopkins University Current Accepting new patients

Locations

5200 Eastern Ave
Fl W6
Baltimore, MD 21224
Phone (410) 550-0018

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

600 N Wolfe St
Baltimore, MD 21287

1000 E Eager St
Baltimore, MD 21202
Phone (410) 522-9800

14207 Park Center Dr
Ste 102
Laurel, MD 20707
Phone (301) 604-5254

9910 Franklin Square Dr
#2110
Nottingham, MD 21236
Phone (410) 933-5412

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502668800000",
    "number": "1871906156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 EASTERN AVE",
            "address_2": "MFL WEST TOWER, 6TH FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242734",
            "telephone_number": "240-994-1082",
            "fax_number": "410-550-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST RM N3E09",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOOCHEHRI",
        "first_name": "AMIR",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-04",
        "last_updated": "2017-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MD",
            "license": "D83740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.