Organization Active NPI

Zafar a. Ansari MD PA

  • Specialist
  • Waldorf, MD
National Provider Identifier
1922323377
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0053219 Issued in MD
Legal business name
ZAFAR A. ANSARI MD PA
Practice address
7 Post Office Rd
Suite E
Waldorf, MD 20602-2744
Phone
(301) 396-4800
Fax
(301) 396-4802
NPI assigned
Mar 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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

Authorized official

Name
Mr. Zafar Abulhasan Ansari, MDNPI 1023125218
Title
Physician
Phone
(301) 396-4800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X D0053219 MD Primary

Addresses

Primary practice location

7 Post Office Rd
Suite E
Waldorf, MD 20602-2744

Mailing address

7 Post Office Rd
Suite E
Waldorf, MD 20602-2744
Phone (301) 396-4800

Other identifiers 2

IdentifierTypeStateIssuer
7302029MedicaidMD
005867983MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100406000432 DC Part B Supplier - Clinic/Group Practice 3870629587 Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, VA; Clinton, MD
O20100421000167 MD Part B Supplier - Clinic/Group Practice 3870629587 Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, VA; Waldorf, MD

National Provider Directory

National Provider Directory

Locations

601 Post Office Rd
Ste 2C
Waldorf, MD 20602
Phone (301) 396-4800

2849 Duke St
Ste 14
Alexandria, VA 22314
Phone (703) 360-9700

2849 Duke St
#14
Alexandria, VA 22314
Phone (703) 778-7600

4010 Maury Pl
Ste 9B
Alexandria, VA 22309
Phone (703) 778-7600

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1922323377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 POST OFFICE RD",
            "address_2": "SUITE E",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022744",
            "telephone_number": "301-396-4800",
            "fax_number": "301-396-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 POST OFFICE RD",
            "address_2": "SUITE E",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206022744",
            "telephone_number": "301-396-4800",
            "fax_number": "301-396-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAFAR A. ANSARI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "ANSARI",
        "authorized_official_first_name": "ZAFAR",
        "authorized_official_middle_name": "ABULHASAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "301-396-4800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0053219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7302029",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005867983",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.