Active NPI
Hafiz Amin
- Internal Medicine Physician
- Montgomery Village, MD
National Provider Identifier
1992334841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0097894
- Practice address
- 18530 Office Park Dr
Montgomery Village, MD 20886-0586 - Phone
- (301) 557-1540
- NPI assigned
- Apr 3, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0097894 | MD | Primary |
| Primary Care Clinic/Center | 261QP2300X | D97849 | MD |
Addresses
Primary practice location
18530 Office Park Dr
Montgomery Village, MD 20886-0586
Mailing address
15213 Peachstone Dr
Silver Spring, MD 20905-4320
Phone (240) 595-9937
Other practice location 1
10605 Concord St
Kensington, MD 20895-2504
Phone (301) 949-4242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231018000610 | DC | Practitioner - Internal Medicine | 0244651701 | Reassigns benefits to 1 organization |
| I20260606000438 | MD | Practitioner - Internal Medicine | 0244651701 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Professional Services of Holy Cross
Practice addresses (Care Compare)
1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Phone (301) 754-7000
Hospital & facility affiliations
- Holy Cross Home Care and Hospice
- Holy Cross Hospital
- Holy Cross Germantown Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0097894 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Services of Holy Cross | Current | Accepting new patients | |
| Professional Services of Holy Cross | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
10605 Concord St
Kensington, MD 20895
Phone (301) 231-9001
18530 Office Park Dr
Montgomry Vlg, MD 20886
Phone (301) 557-1540
1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230
Organizations & group practices 5
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.
-
- Health Service Clinic/Center
- Silver Spring, MD
- NPI 1487692828
DC
-
- Diabetes Educator Registered Nurse
- Silver Spring, MD
- NPI 1053053447
-
- Health Service Clinic/Center
- Rockville, MD
- NPI 1619787454
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Silver Spring, MD
- NPI 1023071289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726185600000",
"number": "1992334841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15213 PEACHSTONE DR",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209054320",
"telephone_number": "240-595-9937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18530 OFFICE PARK DR",
"city": "MONTGOMERY VILLAGE",
"state": "MD",
"postal_code": "208860586",
"telephone_number": "301-557-1540"
}
],
"practiceLocations": [
{
"address_1": "10605 Concord St",
"address_purpose": "LOCATION",
"city": "Kensington",
"state": "MD",
"postal_code": "208952504",
"country_code": "US",
"telephone_number": "301-949-4242",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMIN",
"first_name": "HAFIZ",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-03",
"last_updated": "2024-09-13",
"certification_date": "2024-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0097894",
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "MD",
"license": "D97849",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montgomery Village, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.