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REZA HASHEMIPOUR
NPI 1861846958
Internal Medicine - Gastroenterology in Germantown, MD

Active since April 15, 2016PECOS EnrolledAccepts Medicare Assignment
73.27/100
CMS Quality Rating
19851 OBSERVATION DR STE 245, GERMANTOWN, MD 20876(301) 288-1319 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2024, Nov 3, 2023 (2 updates tracked since 2023).

About Reza Hashemipour NPPES

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

REZA HASHEMIPOUR (NPI 1861846958) is an individual gastroenterology provider in Germantown, Maryland, licensed in Maryland (D0097360) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Adventist Healthcare Shady Grove Medical Center, and is a graduate of Howard University College Of Medicine (2016).

NPPES Registry Identity

NPI1861846958
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameREZA HASHEMIPOUR
Location Address19851 OBSERVATION DR STE 245Germantown, MD 20876-4151
Mailing Address19851 Observation Dr Ste 245Germantown, MD 20876-4151 · (301) 288-1319 · Fax (552) 301-3998
Phone(301) 288-1319
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 2016
Enumeration DateApril 15, 2016
Last NPPES UpdateJune 4, 20242 updates tracked since enumeration
NPPES CertifiedJune 4, 2024
✔ NPI 1861846958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in MD · D0097360✔ Licensed in VA · 0101280597
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
19851 OBSERVATION DR STE 245, Germantown, MD 20876
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Reza Hashemipour is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264813013
PECOS Enrollment IDI20231121002203, I20240527000373
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.

Areas of Expertise CMS Part B claims 9

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
97 services94 patients
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.
88 services53 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.
64 services64 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
56 services42 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
55 services55 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
27 services27 patients

Hospital Affiliations CMS Care Compare 3

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

Adventist Healthcare Shady Grove Medical Center

Acute Care Hospitals · Rockville, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210057
Location9901 Medical Center DriveRockville, MD 20850 · Montgomery County
Emergency services Birthing friendly

Holy Cross Germantown Hospital

Acute Care Hospitals · Germantown, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210065
Location19801 Observation DriveGermantown, MD 20876 · Montgomery County
Emergency services Birthing friendly

Bon Secours St Marys Hospital

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number490059
Location5801 Bremo RdRichmond, VA 23226 · Richmond City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20876 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
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.

73.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality44.89
Promoting Interoperability83
Improvement Activities40
Cost47.69

Other Providers at the Same Location NPPES 3

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

DR. CRYSTAL LUBIS DNP
Nurse Practitioner (Family)
19851 OBSERVATION DR STE 245
GERMANTOWN, MD 20876
Montgomery County (301) 288-1319
MARINA V SAVOY NP
Nurse Practitioner (Adult Health)
19851 OBSERVATION DR STE 245
GERMANTOWN, MD 20876
Montgomery County (301) 315-9515
HALIM CHARBEL MD
Internal Medicine (Gastroenterology)
19851 OBSERVATION DR STE 245
GERMANTOWN, MD 20876
Montgomery County (301) 288-1319

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 Reza Hashemipour's NPI number?

The NPI number for Reza Hashemipour is 1861846958. It was assigned to this individual provider in the NPPES registry on April 15, 2016.

Where is Reza Hashemipour located?

Reza Hashemipour practices at 19851 Observation Dr Ste 245, Germantown, MD 20876. The listed phone number is (301) 288-1319.

What is Reza Hashemipour's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Reza Hashemipour enrolled in Medicare?

Yes. Reza Hashemipour is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Reza Hashemipour affiliated with any hospitals?

According to CMS data, Reza Hashemipour is affiliated with Adventist Healthcare Shady Grove Medical Center, Holy Cross Germantown Hospital and Bon Secours St Marys Hospital.

When was this NPI record last updated?

The NPPES record for Reza Hashemipour was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.