Individual provider Active NPI

Shubir Sofat, MD

  • Cardiovascular Disease Physician
  • Rockville, MD
National Provider Identifier
1003816836
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D0055068 Issued in MD
Practice address
10110 Molecular Dr Ste 200
Rockville, MD 20850-7542
Phone
(301) 610-4000
Fax
(301) 610-4007
NPI assigned
Jul 22, 2005
Last updated
Oct 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D0055068 MD Primary

Addresses

Primary practice location

10110 Molecular Dr Ste 200
Rockville, MD 20850-7542

Mailing address

12013 Great Elm Dr
Potomac, MD 20854-1227
Phone (301) 610-4000

Other identifiers 1

IdentifierTypeStateIssuer
145504400MedicaidMD

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
I20080609000103 DC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0547330169 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montgomery Cardiology, LLCGroup PAC ID 0648346916, 6 clinicians

Practice addresses (Care Compare)

10110 Molecular Dr
Suite 200
Rockville, MD 20850-7542
Phone (301) 610-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.33 of 100Reported as group
Quality
92.65
Promoting interoperability
99
Improvement activities
40
Cost
73.1

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D55098MDMDAllergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Physician Services, Inc. CurrentSince Mar 7, 2006 Accepting new patients
Montgomery Cardiology, LLC Cardiovascular Disease CurrentSince Oct 1, 2002 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

820 W Diamond Ave
Ste 500
Gaithersburg, MD 20878

10110 Molecular Dr
Ste 200
Rockville, MD 20850
Phone (301) 351-3250

15825 Shady Grove Rd
Ste 60
Rockville, MD 20850
Phone (202) 701-0060

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CGGDCD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CGGDCD/Endpoint/CGGDCD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1003816836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12013 GREAT ELM DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208541227",
            "telephone_number": "301-610-4000",
            "fax_number": "301-610-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 MOLECULAR DR STE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208507542",
            "telephone_number": "301-610-4000",
            "fax_number": "301-610-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOFAT",
        "first_name": "SHUBIR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0055068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145504400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.