Individual provider Active NPI

Emil Payman Moshedi, M.D.

  • Ophthalmology Physician
  • Lanham, MD
National Provider Identifier
1992882336
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0042747 Issued in MD
Practice address
9841 Greenbelt Rd
Suite 102
Lanham, MD 20706-6269
Phone
(301) 552-5000
Fax
(301) 552-5003
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D0042747 MD Primary

Addresses

Primary practice location

9841 Greenbelt Rd
Suite 102
Lanham, MD 20706-6269

Mailing address

9841 Greenbelt Rd
Ste 102
Lanham, MD 20706-6216
Phone (301) 552-5000

Other identifiers 9

IdentifierTypeStateIssuer
19962OtherMDJOHNS HOPKINS HEALTHCARE
593010300MedicaidMD
255643OtherMDMAMSI/ALLIANCE
3530 0001OtherMDCAREFIRST
180031454OtherMDRAILROAD MEDICARE
7518228004OtherMDCIGNA
1023658OtherMDAETNA
54695701OtherMDBLUE SHIELD OF MARYLAND
88630OtherMDAMERIGROUP

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
I20060220000154 DC Practitioner - Ophthalmology 8921013525 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Maryland School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9841 Greenbelt Rd
Suite 102
Lanham, MD 20706-6216
Phone (301) 552-5000

Merit-based Incentive Payment System (MIPS)

Final score
21.41 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery175

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0042747MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
E P Moshedi MD PA Ophthalmology CurrentSince Jan 1, 2002 Accepting new patients
Natasha L Herz MD PA Ophthalmology PastSince Aug 1, 2007 Accepting new patients

Locations

9841 Greenbelt Rd
Ste 102
Lanham, MD 20706
Phone (301) 552-5000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1992882336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9841 GREENBELT RD",
            "address_2": "STE 102",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207066216",
            "telephone_number": "301-552-5000",
            "fax_number": "301-552-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9841 GREENBELT RD",
            "address_2": "SUITE 102",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207066269",
            "telephone_number": "301-552-5000",
            "fax_number": "301-552-5003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSHEDI",
        "first_name": "EMIL",
        "middle_name": "PAYMAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0042747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHNS HOPKINS HEALTHCARE",
            "identifier": "19962",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "593010300",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI/ALLIANCE",
            "identifier": "255643",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "3530 0001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180031454",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7518228004",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1023658",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF MARYLAND",
            "identifier": "54695701",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "88630",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

Verify at the official NPI Registry.