NPIMap

Organization Active NPI

Kentlands Medical Associates P.C

  • Primary Care Clinic/Center
  • Gaithersburg, MD
National Provider Identifier
1023337003
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
D0055335 Issued in MD
Legal business name
KENTLANDS MEDICAL ASSOCIATES P.C
Practice address
344 Main St
Suite 100
Gaithersburg, MD 20878-5563
Phone
(240) 632-0333
Fax
(240) 632-0661
NPI assigned
May 30, 2010
Last updated
Dec 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Authorized official

Name
Dr. Rupinder Singh, M.DNPI 1750480729
Title
President
Phone
(240) 632-0333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X D0055335 MD Primary

Addresses

Primary practice location

344 Main St
Suite 100
Gaithersburg, MD 20878-5563

Mailing address

344 Main St
Suite 100
Gaithersburg, MD 20878-5563
Phone (240) 632-0333

Other identifiers 1

IdentifierTypeStateIssuer
095951100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040805001495 DC Part B Supplier - Clinic/Group Practice 6608847165 Receives reassigned benefits from 2 practitioners
Practice locations: Gaithersburg, MD

National Provider Directory

National Provider Directory

Locations

208 Main St
Ste 100
Gaithersburg, MD 20878
Phone (240) 632-0333

344 Main St
Ste 100
Gaithersburg, MD 20878
Phone (240) 632-0333

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1275177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1023337003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 MAIN ST",
            "address_2": "SUITE 100",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208785563",
            "telephone_number": "240-632-0333",
            "fax_number": "240-632-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 MAIN ST",
            "address_2": "SUITE 100",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208785563",
            "telephone_number": "240-632-0333",
            "fax_number": "240-632-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTLANDS MEDICAL ASSOCIATES P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-30",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "RUPINDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-632-0333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "D0055335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "095951100",
            "state": "MD"
        }
    ],
    "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 28, 2011; 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.