NPIMap

Individual provider Active NPI

Babak Razi, MD

  • Nephrology Physician
  • Riverdale, MD
National Provider Identifier
1942345970
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
D0057039 Issued in MD
Practice address
4404 Queensbury Rd
Suite 100
Riverdale, MD 20737-1068
Phone
(301) 779-1949
Fax
(301) 699-1703
NPI assigned
Feb 20, 2007
Last updated
Jan 31, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X CS0111967 DC
Nephrology Physician 207RN0300X D0057039 MD Primary

Addresses

Primary practice location

4404 Queensbury Rd
Suite 100
Riverdale, MD 20737-1068

Mailing address

4404 Queensbury Rd
Suite 100
Riverdale, MD 20737-1068
Phone (301) 779-1949

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090219000558 DC Practitioner - Nephrology 0446315790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Medical College of Pennsylvania, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7725 Belle Point Dr
Greenbelt, MD 20770-3300
Phone (240) 965-7955

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CS0111967DCMDNephrology Physician
D0057039MDMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Astera Medical Clinic CurrentSince Sep 1, 2021 Accepting new patients
Suburban Nephrology Associates LLC CurrentSince Oct 1, 2008 Accepting new patients
Centurion Vascular Care LLC PastSince Feb 1, 2020 Accepting new patients
United Medical Practice LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Lanham Dialysis Access Center LLC PastSince Jan 2, 2009 Accepting new patients

Locations

12200 Annapolis Rd
Ste 233
Glenn Dale, MD 20769
Phone (301) 365-5809

7725 Belle Point Dr
Greenbelt, MD 20770
Phone (240) 965-7955

4404 Queensbury Rd
Ste 100
Riverdale, MD 20737
Phone (301) 779-1949

Interoperability endpoints

  • Direct secure messaging: babak.razi@direct.davitaphysiciansolutions.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1942345970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 QUEENSBURY RD",
            "address_2": "SUITE 100",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371068",
            "telephone_number": "301-779-1949",
            "fax_number": "301-699-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 QUEENSBURY RD",
            "address_2": "SUITE 100",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371068",
            "telephone_number": "301-779-1949",
            "fax_number": "301-699-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZI",
        "first_name": "BABAK",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "DC",
            "license": "CS0111967",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D0057039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, MD

Sources for this page

Verify at the official NPI Registry.