Organization Active NPI

Darioush Nasseri MD PA

  • Orthopaedic Surgery Physician
  • Baltimore, MD
National Provider Identifier
1962436956
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
D0026027 Issued in MD
Legal business name
DARIOUSH NASSERI MD PA
Practice address
5601 Loch Raven Blvd
Ste G2
Baltimore, MD 21239-2905
Phone
(410) 435-8100
Fax
(443) 444-4830
NPI assigned
Jul 10, 2006
Reactivated
Sep 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Authorized official

Name
Dr. Darioush Nasseri, MD PA
Title
Orthopaedic Surgeon
Phone
(410) 435-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X D0026027 MD Primary

Addresses

Primary practice location

5601 Loch Raven Blvd
Ste G2
Baltimore, MD 21239-2905

Mailing address

5601 Loch Raven Blvd
Ste G2
Baltimore, MD 21239-2905
Phone (410) 435-8100

Other identifiers 1

IdentifierTypeStateIssuer
772491800MedicaidMD

National Provider Directory

National Provider Directory

Locations

5601 Loch Raven Blvd
Ste G2
Baltimore, MD 21239
Phone (410) 435-8100

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1962436956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5601 LOCH RAVEN BLVD",
            "address_2": "STE G2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392905",
            "telephone_number": "410-435-8100",
            "fax_number": "443-444-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 LOCH RAVEN BLVD",
            "address_2": "STE G2",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392905",
            "telephone_number": "410-435-8100",
            "fax_number": "443-444-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARIOUSH NASSERI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2011-09-20",
        "deactivation_date": "2011-08-03",
        "reactivation_date": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "NASSERI",
        "authorized_official_first_name": "DARIOUSH",
        "authorized_official_title_or_position": "ORTHOPAEDIC SURGEON",
        "authorized_official_telephone_number": "410-435-8100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D0026027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "772491800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; 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.