Physicians Medical Practice PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

D0057847 Issued in MD

Legal business name

PHYSICIANS MEDICAL PRACTICE PA

Practice address

3231 Superior LN
A-8
Bowie, MD 20715-1923

Phone

(301) 352-6126

NPI assigned

Oct 9, 2006

Organization subpart

No

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

Authorized official

Name

Kanwaljit Singh Ahuja, M.D.NPI 1366446619

Title

President Ceo

Phone

(301) 352-6126

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kanwaljit Singh Ahuja, M.D.

  • Neurology Physician
  • Bowie, MD
  • NPI 1366446619

  DC

  Medicare reassignment NPD Authorized official
• Sumati Patrick, CRNP

  • Adult Health Clinical Nurse Specialist
  • Greenbelt, MD
  • NPI 1972038156
  NPD (past)

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013004274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2086",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207182086",
            "telephone_number": "301-352-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 SUPERIOR LN",
            "address_2": "A-8",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151923",
            "telephone_number": "301-352-6126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS MEDICAL PRACTICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AHUJA",
        "authorized_official_first_name": "KANWALJIT",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "301-352-6126",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D0057847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William B Phillips II, M.D.
• Phoenix Home Care LLC
• Tiffany Phoenix, M.S., CCC-SLP
• PHS Multispecialty Services
• Physical Medicine/Rehab
• Physicians Trust Claims Services
• Physiotherapy Associates - NRH Rehab LLC
• Shayla Pickens
• Christine Pierpont, DPT
• Pinacle Home Health Services

• Neurology Physician in Bowie, MD
• Providers in Bowie, MD by specialty
• Neurology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.