Individual provider Active NPI

Amit Pathak, MD

  • Internal Medicine Physician
  • Olney, MD
National Provider Identifier
1033306972
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME106225 Issued in FL
Practice address
2901 Olney Sandy Spring Rd
Olney, MD 20832-1521
Phone
(301) 774-6655
Fax
(301) 774-5652
NPI assigned
Sep 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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 ME106225 FL Primary

Addresses

Primary practice location

2901 Olney Sandy Spring Rd
Olney, MD 20832-1521

Mailing address

2901 Olney Sandy Spring Rd
Olney, MD 20832-1521
Phone (301) 774-6655

Other practice location 1

18101 Prince Philip Dr
Olney, MD 20832-1514
Phone (301) 774-8689

Other identifiers 2

IdentifierTypeStateIssuer
062283600MedicaidDC
002692300MedicaidFL

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
I20151014000964 DC Practitioner - Internal Medicine 7416141932 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

2901 Olney Sandy Spring Rd
Olney, MD 20832-1521
Phone (301) 774-6655

3007 Tilden St NW
Suite 5N
Washington, DC 20008-3030

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME106225FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC Internal Medicine CurrentSince Mar 1, 2021 Accepting new patients
WHC Emerg Phys CurrentSince Sep 1, 2015 Accepting new patients
Medstar Medical Group II LLC CurrentSince Mar 1, 2021 Accepting new patients
MGMC, LLC CurrentSince Jul 9, 2017 Accepting new patients
Medstar Medical Group II LLC CurrentSince Jul 9, 2017 Accepting new patients
WHC Physician Group LLC CurrentSince Sep 1, 2015 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

18101 Prince Philip Dr
Olney, MD 20832
Phone (301) 774-8618

2901 Olney Sandy Spring Rd
Olney, MD 20832
Phone (301) 774-6655

18101 Prince Philip Dr
Ste 319
Olney, MD 20832

18101 Prince Philip Dr
Ste 230N
Olney, MD 20832
Phone (855) 633-0207

Interoperability endpoints

  • Direct secure messaging: amit.pathakmd.p2@direct.msmg.nextgenshare.com

Organizations & group practices 7

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 3

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": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695945600000",
    "number": "1033306972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 OLNEY SANDY SPRING RD",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321521",
            "telephone_number": "301-774-6655",
            "fax_number": "301-774-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 OLNEY SANDY SPRING RD",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321521",
            "telephone_number": "301-774-6655",
            "fax_number": "301-774-5652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18101 Prince Philip Dr",
            "address_purpose": "LOCATION",
            "city": "Olney",
            "state": "MD",
            "postal_code": "208321514",
            "country_code": "US",
            "telephone_number": "301-774-8689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATHAK",
        "first_name": "AMIT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-25",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME106225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062283600",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002692300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, MD

Sources for this page

Verify at the official NPI Registry.