NPIMap

Individual provider Active NPI

Ali Ghorbani, M.D.

  • Nephrology Physician
  • Takoma Park, MD
National Provider Identifier
1932192291
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0063672 Issued in MD
Practice address
7610 Carroll Ave
Suite 480
Takoma Park, MD 20912-6384
Phone
(301) 270-4360
Fax
(301) 270-4319
NPI assigned
Aug 23, 2005
Last updated
Jun 16, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 0063672 MD Primary

Addresses

Primary practice location

7610 Carroll Ave
Suite 480
Takoma Park, MD 20912-6384

Mailing address

4915 Auburn Ave
Suite 202
Bethesda, MD 20814-2636
Phone (301) 907-3939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051229000564 DC Practitioner - NephrologyPractitioner - Internal Medicine 3274572953 Reassigns benefits to 1 organization
I20180905001080 MD Practitioner - NephrologyPractitioner - Internal Medicine 3274572953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Nephrology Associates LLPGroup PAC ID 8527951318, 31 clinicians

Practice addresses (Care Compare)

116 Defense Hwy
Suite 202
Annapolis, MD 21401-7045
Phone (410) 224-0270

7610 Carroll Ave
Suite 270
Takoma Park, MD 20912-6302
Phone (301) 270-4360

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0063672MDMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Nephrology Associates, L.L.P. Nephrology CurrentSince Dec 1, 2005 Accepting new patients
Mwrdc of Annapolis Nephrology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

116 Defense Hwy
Ste 202
Annapolis, MD 21401
Phone (410) 224-0270

4915 Auburn Ave
Ste 200
Bethesda, MD 20814
Phone (301) 907-3939

7610 Carroll Ave
Ste 270
Takoma Park, MD 20912
Phone (301) 270-4360

7610 Carroll Ave
Ste 480
Takoma Park, MD 20912
Phone (301) 270-4360

4141A Duke St
Alexandria, VA 22304
Phone (703) 461-3556

Interoperability endpoints

  • Direct secure messaging: aghorbani17116@direct.acumenmd.com

Organizations & group practices 3

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 11

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": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1932192291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 AUBURN AVE",
            "address_2": "SUITE 202",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142636",
            "telephone_number": "301-907-3939",
            "fax_number": "301-656-3943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7610 CARROLL AVE",
            "address_2": "SUITE 480",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126384",
            "telephone_number": "301-270-4360",
            "fax_number": "301-270-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHORBANI",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "0063672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

Verify at the official NPI Registry.