Active NPI
Kamalinee Deshpande MD PA
- Primary Care Clinic/Center
- Rockville, MD
National Provider Identifier
1033430012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- D0020415
- Legal business name
- KAMALINEE DESHPANDE MD PA
- Practice address
- 6001 Lux LN
Rockville, MD 20852-3501 - Phone
- (301) 493-6866
- NPI assigned
- Jun 14, 2010
- Last updated
- Jun 14, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kamalinee V Deshpande, MD
- Title
- President
- Phone
- (301) 493-6866
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | D0020415 | MD | Primary |
Addresses
Primary practice location
6001 Lux LN
Rockville, MD 20852-3501
Mailing address
6001 Lux LN
Rockville, MD 20852-3501
Phone (301) 493-6866
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 185631600 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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": "1276473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276473600000",
"number": "1033430012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6001 LUX LN",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208523501",
"telephone_number": "301-493-6866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6001 LUX LN",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208523501",
"telephone_number": "301-493-6866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAMALINEE DESHPANDE MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-14",
"last_updated": "2010-06-14",
"status": "A",
"authorized_official_last_name": "DESHPANDE",
"authorized_official_first_name": "KAMALINEE",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-493-6866",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "MD",
"license": "D0020415",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "185631600",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.