Active NPI
Nasaazi Mugisha Lwanga, PA
- Physician Assistant
- Gaithersburg, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 818 W Diamond Ave Ste 120
Gaithersburg, MD 20878-1450 - Phone
- (301) 963-6334
- NPI assigned
- Feb 6, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
818 W Diamond Ave Ste 120
Gaithersburg, MD 20878-1450
Mailing address
6701 Democracy Blvd Ste 300
Bethesda, MD 20817-7500
Other practice location 1
Brooke Army Medical Center 3551 Roger Brooke Drive
JBSA Fort Sam Houston, TX 78234-4504
Phone (210) 916-3000
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6410 Rockledge Dr
Suite 305
Bethesda, MD 20817-1841
Phone (301) 652-8847
818 W Diamond Ave
Suite 120
Gaithersburg, MD 20878-1450
Phone (301) 963-6334
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EGDCBA/Endpoint/EGDCBA
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733270400000",
"number": "1023257581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6701 DEMOCRACY BLVD STE 300",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208177500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 W DIAMOND AVE STE 120",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208781450",
"telephone_number": "301-963-6334"
}
],
"practiceLocations": [
{
"address_1": "Brooke Army Medical Center 3551 Roger Brooke Drive",
"address_purpose": "LOCATION",
"city": "JBSA Fort Sam Houston",
"state": "TX",
"postal_code": "782344504",
"country_code": "US",
"telephone_number": "210-916-3000",
"fax_number": "210-539-2075",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LWANGA",
"first_name": "NASAAZI",
"middle_name": "MUGISHA",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-06",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.