Individual provider Active NPI

Amirali Amjadi, M.D.

  • Specialist
  • Greenbelt, MD
National Provider Identifier
1902819196
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0059993 Issued in MD
Practice address
7721 Belle Point Dr
Greenbelt, MD 20770-3300
Phone
(301) 345-1272
Fax
(301) 474-2671
NPI assigned
Aug 15, 2006
Last updated
Apr 22, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0059993 MD Primary
Infectious Disease Physician 207RI0200X D0059993 MD

Addresses

Primary practice location

7721 Belle Point Dr
Greenbelt, MD 20770-3300

Mailing address

PO Box 61363
Potomac, MD 20859-1363
Phone (301) 345-1272

Other identifiers 9

IdentifierTypeStateIssuer
P00779344OtherMDRAILROAD
4130464OtherMDUNITED HEALTHCARE
7075795OtherMDCIGNA
7937465OtherMDAETNA
000341700MedicaidMD
01293247OtherMDAMERIGROUP
035160700MedicaidDC
62115604OtherMDBLUE CROSS OF MARYLAND
N1510005OtherMDBLUE CROSS FEDERAL

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
I20031105000043 DC Practitioner - Infectious DiseasePractitioner - Internal Medicine 5294647509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8118 Good Luck Rd
Lanham, MD 20706-3574
Phone (301) 509-8295

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0059993MDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Amirali Amjadi MD LLC Infectious Disease CurrentSince Mar 4, 2019 Accepting new patients
R & P Limpuangthip, M.D., P.a. Specialist PastSince Apr 26, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Matrix House Physicians PA Past Accepting new patients

Locations

7721 Belle Point Dr
Greenbelt, MD 20770
Phone (301) 345-1272

8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608

Interoperability endpoints

  • Direct secure messaging: aamjadi801390@direct.umm.edu

Organizations & group practices 4

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 3

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1902819196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61363",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208591363",
            "telephone_number": "301-345-1272",
            "fax_number": "301-474-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7721 BELLE POINT DR",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703300",
            "telephone_number": "301-345-1272",
            "fax_number": "301-474-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMJADI",
        "first_name": "AMIRALI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0059993",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MD",
            "license": "D0059993",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00779344",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "4130464",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7075795",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7937465",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000341700",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01293247",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035160700",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MARYLAND",
            "identifier": "62115604",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS FEDERAL",
            "identifier": "N1510005",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.