NPIMap

Individual provider Active NPI

Asif Mohamed, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Baltimore, MD
National Provider Identifier
1962484261
Registry record updated Dec 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
D0061387 Issued in MD
Practice address
3421 Benson Ave
Suite 210
Baltimore, MD 21227
Phone
(410) 368-1370
Fax
(410) 368-1382
NPI assigned
Nov 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X D0061387 MD Primary

Addresses

Primary practice location

3421 Benson Ave
Suite 210
Baltimore, MD 21227

Mailing address

3421 Benson Ave
Suite 210
Baltimore, MD 21227-1056
Phone (410) 368-1370

Other identifiers 7

IdentifierTypeStateIssuer
7015391OtherCIGNA
64114701OtherCARE FIRST
J69000002OtherBLUE CHOICE
7322536OtherAETNA PPO
3132403OtherMAMSI
3502085OtherAETNA HMO
522442528OtherUNITED H CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040729000412 MD Practitioner - Endocrinology 2264402270 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
University of Pittsburgh School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifebridge Community Physicians IncGroup PAC ID 3678751468, 183 clinicians

Practice addresses (Care Compare)

4 W Rolling Crossroads
Suite 100
Catonsville, MD 21228-6280
Phone (410) 869-0100

Hospital & facility affiliations

  • Sinai Hospital of Baltimore Hospital, Baltimore, MD, CCN 210012

Merit-based Incentive Payment System (MIPS)

Final score
83.23 of 100Reported as group
Quality
60.26
Promoting interoperability
100
Improvement activities
40
Cost
76.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0061387MDMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Paul Place Specialists, Inc. Endocrinology, Diabetes & Metabolism CurrentSince May 1, 2011 Accepting new patients
Lifebridge Community Physicians Inc CurrentSince Oct 22, 2019 Accepting new patients
St. Paul Place Specialists, Inc. Current Accepting new patients
Lifebridge Community Physicians, Inc Current Accepting new patients
St Paul Place Specialists Inc CurrentSince May 1, 2011 Accepting new patients
Lifebridge Community Physicians, Inc. CurrentSince Oct 22, 2019 Accepting new patients
Maryland General Hospital, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Endocrinology Associates of Baltimore LLC Endocrinology, Diabetes & Metabolism PastSince Jul 28, 2004 Accepting new patients
University of Maryland Community Medical Group, Inc. Past Accepting new patients
Saint Paul Place Specialists, Inc. Past Accepting new patients
Lifebridge Community Physicians, Inc Past Accepting new patients

Locations

827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100

2700 Quarry Lake Dr
Ste 280
Baltimore, MD 21209
Phone (410) 469-5544

2435 W Belvedere Ave
Ste 22
Baltimore, MD 21215
Phone (410) 601-6340

4 W Rolling Xrds
Ste 100
Catonsville, MD 21228
Phone (410) 869-0100

5450 Knoll North Dr
Ste 100
Columbia, MD 21045
Phone (410) 601-1800

7602 Belair Rd
Nottingham, MD 21236
Phone (410) 332-9654

410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293753600000",
    "number": "1962484261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 BENSON AVE",
            "address_2": "SUITE 210",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212271056",
            "telephone_number": "410-368-1370",
            "fax_number": "410-368-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 BENSON AVE",
            "address_2": "SUITE 210",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21227",
            "telephone_number": "410-368-1370",
            "fax_number": "410-368-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "ASIF",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2010-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MD",
            "license": "D0061387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7015391",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST",
            "identifier": "64114701",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE",
            "identifier": "J69000002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "7322536",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "3132403",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "3502085",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED H CARE",
            "identifier": "522442528",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.