Manouchehr Amini, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

CI0000475 Issued in DE

Practice address

2601 Annand Dr
Suite 4
Wilmington, DE 19808-3719

Phone

(302) 998-3334

Fax

(302) 998-8985

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/1e751165-d0f5-47ed-aa9b-1a8abb55d1d6/

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.

• Heritage Medical Associates, P.a.

  • Family Medicine Physician
  • Wilmington, DE
  • NPI 1609073493
  NPD (past)
• Img Associates LLC

  • Specialist
  • Merrillville, IN
  • NPI 1134424351
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952453565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 ANNAND DR",
            "address_2": "SUITE 4",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198083719",
            "telephone_number": "302-998-3334",
            "fax_number": "302-998-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 ANNAND DR",
            "address_2": "SUITE 4",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198083719",
            "telephone_number": "302-998-3334",
            "fax_number": "302-998-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMINI",
        "first_name": "MANOUCHEHR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "CI0000475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000958301",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• American Current Care of Delaware P.a. (Concentra immediate Care)
• Ames Counseling Services
• Jacqueline Ames, LMT
• Regina Vontelaray Ames, LPCMH
• Mart Joseph Amick, MD
• Louise Amlie-Wolf, MS, CGC
• Roger D. Ammon, O.D.
• Amanda Lynn Amodeo, LCSW
• Christine Amoriello
• Lindsay Amorosi

• Internal Medicine Physician in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Internal Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.