Individual provider Active NPI

Amin Jahedi

  • Foot & Ankle Surgery Podiatrist
  • Waldorf, MD
National Provider Identifier
1952797417
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
01643 Issued in MD
Practice address
10 St. Patrick's Drive
Waldorf, MD 20603-4527
Phone
(301) 705-7870
Fax
(301) 705-7628
NPI assigned
Apr 11, 2015
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X N006815 NY
Foot & Ankle Surgery Podiatrist 213ES0103X 01643 MD Primary

Addresses

Primary practice location

10 St. Patrick's Drive
Waldorf, MD 20603-4527

Mailing address

24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone (301) 373-7900

Other practice location 1

1413 Madison Park Dr Fl 2
Glen Burnie, MD 21061-5613
Phone (410) 691-3571

Other practice location 2

6710 Oxon Hill Road Suite 250
Oxon Hill, MD 20745-1124
Phone (301) 292-7270

Other identifiers 1

IdentifierTypeStateIssuer
777959300MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180619000627 MD Practitioner - Podiatry 8921353764 Reassigns benefits to 3 organizations
I20180620001241 DC Practitioner - Podiatry 8921353764 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group - Southern Maryland LLCGroup PAC ID 1355667056, shared by 2 NPIs, 241 clinicians

Practice addresses (Care Compare)

12070 Old Line Ctr
Suite 100
Waldorf, MD 20602-2534
Phone (301) 705-7870

24035 Three Notch Rd
Hollywood, MD 20636-4871

6710 Oxon Hill Rd
Suite 200
Oxon Hill, MD 20745-1124
Phone (301) 373-7900

900 E Swan Creek Rd
Medstar Shah Medical Group
Ft Washington, MD 20744-5250
Phone (301) 877-4564

950 E Swann Creek Rd
Fort Washington, MD 20744
Phone (301) 292-7270

Merit-based Incentive Payment System (MIPS)

Final score
81.41 of 100Reported as group
Quality
61.45
Promoting interoperability
96
Improvement activities
40
Cost
79.91

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue116
Removal of skin lesions1-10
Removal of nail tissue122
Removal or shaving of skin growth38

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N006815NYMDFoot & Ankle Surgery Podiatrist
01643MDMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group - Southern Maryland LLC CurrentSince Feb 1, 2022 Accepting new patients
Medstar Medical Group - Southern Maryland LLC CurrentSince Oct 1, 2019 Accepting new patients
Medstar Medical Group - Southern Maryland LLC CurrentSince Nov 1, 2020 Accepting new patients
Elite Orthopaedic & Musculoskeletal Center, LLC CurrentSince Jun 7, 2019 Accepting new patients

Locations

950 E Swan Creek Rd
Ft Washington, MD 20744
Phone (301) 292-0236

1413 Madison Park Dr
Fl 2
Glen Burnie, MD 21061
Phone (410) 590-0015

24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588

10 Saint Patricks Dr
Waldorf, MD 20603
Phone (301) 705-7870

10 Saint Patricks Dr
Fl 3
Waldorf, MD 20603
Phone (240) 448-2970

12070 Old Line Ctr
Ste 100
Waldorf, MD 20602
Phone (301) 705-7870

Interoperability endpoints

  • Direct secure messaging: amin.jahedidpm.p2@direct.msmg.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/ADADBA

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1428710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1952797417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24035 THREE NOTCH RD",
            "city": "HOLLYWOOD",
            "state": "MD",
            "postal_code": "206364871",
            "telephone_number": "301-373-7900",
            "fax_number": "301-373-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ST. PATRICK'S DRIVE",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034527",
            "telephone_number": "301-705-7870",
            "fax_number": "301-705-7628"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1413 Madison Park Dr Fl 2",
            "address_purpose": "LOCATION",
            "city": "Glen Burnie",
            "state": "MD",
            "postal_code": "210615613",
            "country_code": "US",
            "telephone_number": "410-691-3571",
            "fax_number": "410-691-3591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6710 Oxon Hill Road Suite 250",
            "address_purpose": "LOCATION",
            "city": "Oxon Hill",
            "state": "MD",
            "postal_code": "207451124",
            "country_code": "US",
            "telephone_number": "301-292-7270",
            "fax_number": "301-203-8248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAHEDI",
        "first_name": "AMIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-11",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N006815",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "777959300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

Verify at the official NPI Registry.