Individual provider Active NPI

Imad Sami Mufarrij, MD FACOG

  • Gynecology Physician
  • Bowie, MD
National Provider Identifier
1962514158
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
D31265 Issued in MD
Practice address
3060 Mitchellville Rd Ste 210
Bowie, MD 20716-3969
Phone
(301) 249-4090
Fax
(410) 584-1725
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X D31265 MD Primary

Addresses

Primary practice location

3060 Mitchellville Rd Ste 210
Bowie, MD 20716-3969

Mailing address

8110 Maple Lawn Blvd Ste 235
Fulton, MD 20759-2694
Phone (301) 340-8339

Other practice location 1

4000 Mitchellville Rd
Suite A 308
Bowie, MD 20716
Phone (301) 805-0095

Other identifiers 1

IdentifierTypeStateIssuer
390581100MedicaidMD

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address imad.mufarrij.p1@direct.cwcare.nextgenshare.com Direct
Direct Messaging Address imad.mufarrij.p1@direct.cwcare.nextgenshare.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100315000091 DC Practitioner - Obstetrics/Gynecology 3274638127 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Womens Care LLCGroup PAC ID 4880582741, 281 clinicians

Practice addresses (Care Compare)

9711 Medical Ctr Dr
Suite 109
Rockville, MD 20850-3381
Phone (301) 762-5501

Hospital & facility affiliations

  • Luminis Health Anne Arundel Medical Center, Inc Hospital, Annapolis, MD, CCN 210023

Merit-based Incentive Payment System (MIPS)

Final score
43.1 of 100Reported as group
Quality
7.9
Improvement activities
40
Cost
79.19

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Services of Holy Cross CurrentSince Oct 17, 2012 Accepting new patients
Capital Women'S Care, L.L.C. CurrentSince Jun 1, 2018 Accepting new patients
Professional Services of Holy Cross CurrentSince Oct 17, 2012 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Capital Womens Care LLC PastSince Oct 13, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Holy Cross Health, Inc Past Accepting new patients

Locations

8110 Maple Lawn Blvd
Ste 235
Fulton, MD 20759

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

9711 Medical Center Dr
Ste 109
Rockville, MD 20850
Phone (301) 762-5501

11200 Rockville Pike
Ste 205
Rockville, MD 20852
Phone (301) 249-4090

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

Interoperability endpoints

  • Direct secure messaging: imad.mufarrij.p1@direct.cwcare.nextgenshare.com

Organizations & group practices 7

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1962514158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 MAPLE LAWN BLVD STE 235",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592694",
            "telephone_number": "301-340-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 MITCHELLVILLE RD STE 210",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163969",
            "telephone_number": "301-249-4090",
            "fax_number": "410-584-1725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Mitchellville Rd",
            "address_2": "Suite A 308",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "20716",
            "country_code": "US",
            "telephone_number": "301-805-0095",
            "fax_number": "301-805-0952",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUFARRIJ",
        "first_name": "IMAD",
        "middle_name": "SAMI",
        "name_prefix": "Dr.",
        "credential": "MD  FACOG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MD",
            "license": "D31265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390581100",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "imad.mufarrij.p1@direct.cwcare.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4000 Mitchellville Rd",
            "address_2": "Suite A 308",
            "city": "Bowie",
            "state": "MD",
            "country_code": "US",
            "postal_code": "20716",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "imad.mufarrij.p1@direct.cwcare.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3060 Mitchellville Rd Ste 210",
            "city": "Bowie",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207163969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

Verify at the official NPI Registry.