NPIMap

Organization Active NPI

DRS Moshyedi & Mostaghim MD PA

  • Gastroenterology Physician
  • Greenbelt, MD
National Provider Identifier
1942526561
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
D0046093 Issued in MD
Legal business name
DRS MOSHYEDI & MOSTAGHIM MD PA
Practice address
7305 Hanover Pkwy
Suite a
Greenbelt, MD 20770-2030
Phone
(301) 982-7900
Fax
(301) 982-4465
NPI assigned
Apr 8, 2010
Last updated
Feb 5, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Authorized official

Name
Radman Mostaghim, MDNPI 1720022023
Title
Owner
Phone
(301) 982-7900

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
Gastroenterology Physician 207RG0100X D0046093 MD Primary

Addresses

Primary practice location

7305 Hanover Pkwy
Suite a
Greenbelt, MD 20770-2030

Mailing address

7305 Hanover Pkwy
Suite a
Greenbelt, MD 20770-2030
Phone (301) 982-7900

Other identifiers 2

IdentifierTypeStateIssuer
185840OtherDCDC MEDICARE GROUP PTAN
1942526561OtherDCDC MEDICARE GROUP NPI#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100911000048 DC Part B Supplier - Clinic/Group Practice 2769507979 Receives reassigned benefits from 7 practitioners
Practice locations: Greenbelt, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1942526561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7305 HANOVER PKWY",
            "address_2": "SUITE A",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702030",
            "telephone_number": "301-982-7900",
            "fax_number": "301-982-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7305 HANOVER PKWY",
            "address_2": "SUITE A",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702030",
            "telephone_number": "301-982-7900",
            "fax_number": "301-982-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS MOSHYEDI & MOSTAGHIM MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-08",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "MOSTAGHIM",
        "authorized_official_first_name": "RADMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-982-7900",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "D0046093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC MEDICARE GROUP PTAN",
            "identifier": "185840",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC MEDICARE GROUP NPI#",
            "identifier": "1942526561",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.