NPIMap

Organization Active NPI

Ali Rezazadeh-Tehrani,M.D.,Inc.

  • Urology Physician
  • Silver Spring, MD
National Provider Identifier
1942496385
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
D0046939 Issued in MD
Legal business name
ALI REZAZADEH-TEHRANI,M.D.,INC.
Practice address
9801 Georgia Ave
Suite 3-41
Silver Spring, MD 20902-5276
Phone
(301) 681-1535
Fax
(301) 618-3949
NPI assigned
Sep 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Dr. Ali Rezazade Tehrani, M.D.
Title
President
Phone
(301) 681-1535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X D0046939 MD Primary

Addresses

Primary practice location

9801 Georgia Ave
Suite 3-41
Silver Spring, MD 20902-5276

Mailing address

9801 Georgia Ave
Suite 3-41
Silver Spring, MD 20902-5276
Phone (301) 681-1535

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060123000973 DC Part B Supplier - Clinic/Group Practice 7012931561 Receives reassigned benefits from 1 practitioner
Practice locations: Greenbelt, MD; Washington, DC; Silver Spring, MD; Fort Washington, MD
O20060313000293 MD Part B Supplier - Clinic/Group Practice 7012931561 Receives reassigned benefits from 1 practitioner
Practice locations: Crofton, MD

National Provider Directory

National Provider Directory

Locations

1328 Southern Ave SE
Ste 310
Washington, DC 20032
Phone (202) 562-0400

1667 Crofton Ctr
Crofton, MD 21114
Phone (301) 261-6222

9400 Livingston Rd
Ste 318
Fort Washington, MD 20744
Phone (301) 265-0506

1403 Madison Park Dr
Glen Burnie, MD 21061
Phone (240) 405-5909

Practitioners & affiliated clinicians

Practitioners 2

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": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1942496385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 GEORGIA AVE",
            "address_2": "SUITE 3-41",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025276",
            "telephone_number": "301-681-1535",
            "fax_number": "301-618-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 GEORGIA AVE",
            "address_2": "SUITE 3-41",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025276",
            "telephone_number": "301-681-1535",
            "fax_number": "301-618-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI REZAZADEH-TEHRANI,M.D.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "REZAZADE TEHRANI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-681-1535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "MD",
            "license": "D0046939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; 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.