NPIMap

Individual provider Active NPI

Anushiravan Dadgar, D.O.

  • Internal Medicine Physician
  • Rockville, MD
National Provider Identifier
1023066362
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
H0051280 Issued in MD
Practice address
10110 Molecular Dr
Suite 206
Rockville, MD 20850-7539
Phone
(301) 279-2779
Fax
(240) 403-0190
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X H0051280 MD Primary

Addresses

Primary practice location

10110 Molecular Dr
Suite 206
Rockville, MD 20850-7539

Mailing address

10110 Molecular Drive
Suite 206
Rockville, MD 20850-7542
Phone (301) 343-6505

Other identifiers 1

IdentifierTypeStateIssuer
351201100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101206000038 DC Practitioner - Internal Medicine 1850202011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Maryland School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Montgomery Medical Associates, P.C.Group PAC ID 1355311713, 6 clinicians

Practice addresses (Care Compare)

10110 Molecular Dr
Suite 206
Rockville, MD 20850-7542
Phone 3012792779105

6410 Rockledge Dr
Bethesda, MD 20817-1844

Hospital & facility affiliations

  • Adventist Home Health Services, Inc. Home health agency, Silver Spring, MD, CCN 217032
  • Amedisys Home Health Care Home health agency, Largo, MD, CCN 217149
  • Bayada Home Health Care, Inc Home health agency, Gaithersburg, MD, CCN 217158
  • Adventist Healthcare Rehabilitation at Rockville Inpatient rehabilitation facility, Rockville, MD, CCN 213029

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H0051280MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montgomery Medical Associates, P.C. CurrentSince Jun 18, 2001 Accepting new patients
Heartland Hospice Services, LLC PastSince Apr 30, 2003 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

13219 Executive Park Ter
Germantown, MD 20874
Phone (240) 898-5075

10110 Molecular Dr
Ste 206
Rockville, MD 20850
Phone (301) 279-2779

10110 Molecular Dr
Rockville, MD 20850
Phone (301) 838-4224

Interoperability endpoints

  • Direct secure messaging: drdadgar@montgomerymedical.gwaydirect.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.519005

Organizations & group practices 4

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

Hospital & facility affiliations 4

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1023066362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10110 MOLECULAR DRIVE",
            "address_2": "SUITE 206",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208507542",
            "telephone_number": "301-343-6505",
            "fax_number": "240-403-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 MOLECULAR DR",
            "address_2": "SUITE 206",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208507539",
            "telephone_number": "301-279-2779",
            "fax_number": "240-403-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DADGAR",
        "first_name": "ANUSHIRAVAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "H0051280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351201100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.