DR. ATA MOTAMEDI MD NPI 1013904606

NPI Information

  • NPI: 1013904606
  • Provider Name: DR. ATA MOTAMEDI, MD
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 17904 GEORGIA AVE
    SUITE # 304
    OLNEY, MD
    ZIP 20832
  • Phone: (301) 924-2790

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NPI Details

DR. Ata Motamedi, MD is an internal medicine in Olney, MD with 32 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Ata Motamedi, MD NPI is 1013904606. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MINNESOTA, DULUTH SCHOOL OF MEDICINE
Graduation Year:1994

The provider's business location address is:

17904 GEORGIA AVE
SUITE # 304
OLNEY, MD
ZIP 20832-239
Phone: (301) 924-2790
Fax: (301) 924-1631

The NPI 1013904606 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
  • Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
  • Influenza vaccine, quadrivalent derived from cell cultures (HCPCS:90756)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report (HCPCS:G0403)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Transitional care management services for problem of high complexity (HCPCS:99496)
  • Administration of vaccine (HCPCS:90471)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Pneumococcal vaccine, 13-valent (HCPCS:90670)

The enumeration date for this NPI number is 9/29/2005 and was last updated on 12/27/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineD0063999MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10033OTHERDISTRICT OF COLUMBIACAREFIRST BCBS
2P00307411OTHERILLINOISRR MEDICARE
3N713MEDICARE PINMARYLAND
4409839100MEDICAIDMARYLAND
5G02539M01MEDICARE PINMARYLAND
665112701OTHERMARYLANDCAREFIRST BCBS
75901543OTHERMARYLANDAETNA PPO
8G58287MEDICARE UPINMARYLAND
91194549OTHERMARYLANDAETNA HMO
10132355OTHERMARYLANDJHHC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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