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AMIN SEDAGHAT HERATI M.D.
NPI 1205153947
Urology in Baltimore, MD

Active since April 20, 2010PECOS Enrolled
75/100
CMS Quality Rating
4940 EASTERN AVE BLDG 3, BALTIMORE, MD 21224(410) 550-7742(410) 550-3341 Get Directions Write a Review

NPPES record last updated: October 9, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Amin Sedaghat Herati M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMIN SEDAGHAT HERATI M.D. (NPI 1205153947) is an individual urology provider in Baltimore, Maryland, licensed in Maryland (D83492) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1205153947
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameAMIN SEDAGHAT HERATICredential: M.D.
Location Address4940 EASTERN AVE BLDG 3Baltimore, MD 21224-2735
Mailing Address9910 Franklin Square Dr Ste 2110Baltimore, MD 21236-4902 · (410) 933-6423 · Fax (410) 933-1390
Phone(410) 550-7742
Fax(410) 550-3341
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2010
Enumeration DateApril 20, 2010
Last NPPES UpdateOctober 9, 2017
✔ NPI 1205153947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in MD · D83492
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
4940 EASTERN AVE BLDG 3, Baltimore, MD 21224
Open in Google Maps ↗

Secondary Practice Location 1

Location 14703 S Saint George CtSpringfield, MO 65810-2457 · Phone (417) 827-9026

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amin Sedaghat Herati M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507138443
PECOS Enrollment IDI20170828001231, I20240216000710
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Amin Herati reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Johns Hopkins University
0.4 mi
Clinical Medical Laboratory
5501 HOPKINS BAYVIEW CIR, ROOM 1A20
Baltimore, MD 21224
  • Reassigned Medicare billing, Maryland enrollment
  • 4,483 clinicians in this Medicare group
NPI 1306810619 (410) 550-3362
Johns Hopkins University
2.3 mi
Urology
601 N CAROLINE ST
Baltimore, MD 21287
  • Reassigned Medicare billing, District of Columbia enrollment
  • 15 clinicians in this Medicare group
NPI 1295731966 (410) 955-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
138 services121 patients
Insertion of implant in urethra within prostate gland using an endoscope, each additional implant 52442
This procedure involves placing additional tiny implants in the prostate gland using a special viewing device. It's a common method to address certain health concerns. The process is done carefully to ensure minimal discomfort.
86 services21 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
65 services64 patients
Ultrasound scan of pelvic region through rectum 76872
An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.
36 services35 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
34 services34 patients
Biopsy of prostate gland 55700
A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.
31 services30 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210009
Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County
Emergency services Birthing friendly

Suburban Hospital

Acute Care Hospitals · Bethesda, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210022
Location8600 Old Georgetown RoadBethesda, MD 20814 · Montgomery County
Emergency services

Johns Hopkins Bayview Medical Center

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210029
Location4940 Eastern AvenueBaltimore, MD 21224 · Baltimore City County
Emergency services Birthing friendly

Johns Hopkins Howard County Medical Center

Acute Care Hospitals · Columbia, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210048
Location5755 Cedar LaneColumbia, MD 21044 · Howard County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21224 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier21 claims2,520 services$6.07 avg. paid by Medicare
Intermittent urinary catheter, with insertion supplies A4353
DME-Orthotic Devices · category DF008N
1 supplier12 claims1,440 services$6.63 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
1 supplier11 claims22 services$6.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARISA MEYER CLIFTON M.D.
Urology
4940 EASTERN AVE BLDG 3
BALTIMORE, MD 21224
Baltimore City (410) 550-7739

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amin Herati's NPI number?

The NPI number for Amin Herati is 1205153947. It was assigned to this individual provider in the NPPES registry on April 20, 2010.

Where is Amin Herati located?

Amin Herati practices at 4940 Eastern Ave Bldg 3, Baltimore, MD 21224. The listed phone number is (410) 550-7742.

What is Amin Herati's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Amin Herati enrolled in Medicare?

Yes. Amin Herati is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Amin Herati's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amin Herati reassigns Medicare benefits to 2 organizations: Johns Hopkins University (Baltimore, MD) and Johns Hopkins University (Baltimore, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amin Herati's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Amin Herati affiliated with any hospitals?

According to CMS data, Amin Herati is affiliated with Johns Hopkins Hospital, The, Suburban Hospital, Johns Hopkins Bayview Medical Center and Johns Hopkins Howard County Medical Center.

When was this NPI record last updated?

The NPPES record for Amin Herati was last updated on October 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.