Mruthyunjaya Gonchigar, M.D.

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

D0050726 Issued in MD

Practice address

196 Thomas Johnson Dr
Suite 215
Frederick, MD 21702-4397

Phone

(301) 668-9988

Fax

(301) 668-9977

NPI assigned

Apr 19, 2006

Last updated

Apr 5, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MD, VA2 enrollments

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 2

Specialty

Anesthesiology

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Newbridge Surgery Center at Frederick

  • Ambulatory Surgical Clinic/Center
  • Frederick, MD
  • NPI 1508199720
  Medicare reassignment NPD Authorized official
• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  MD

  Medicare reassignment Care Compare group NPD
• Newbridge Anesthesia LLC

  • Specialist
  • Frederick, MD
  • NPI 1891931556

  VA

  Medicare reassignment Authorized official
• Newbridge Spine and Pain Center LLC

  • Specialist
  • Frederick, MD
  • NPI 1790921450
  Medicare reassignment NPD
• Newbridge Surgery Center at Prince Frederick, LLC

  • Ambulatory Surgical Clinic/Center
  • Prince Frederick, MD
  • NPI 1285944504
  NPD Authorized official
• Capital Area Pain Management Associates, LLC

  • Pain Medicine Physician
  • Frederick, MD
  • NPI 1669402939
  NPD (past) Authorized official
• Capital Area Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Frederick, MD
  • NPI 1871529180
  NPD (past) Authorized official
• Newbridge Surgery Center at Waldorf

  • Ambulatory Surgical Clinic/Center
  • Waldorf, MD
  • NPI 1710112669
  NPD (past) Authorized official
• Newbridge Spine and Pain Center of Virginia LLC

  • Specialist
  • Leesburg, VA
  • NPI 1952739203
  Authorized official Same address or phone
• Newbridge Spine and Pain Center, LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Waldorf, MD
  • NPI 1699197368
  NPD
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD
• Capital Pain Management & Anesthesia Associates, LLC

  • Anesthesiology Physician
  • La Plata, MD
  • NPI 1407886781
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1043275449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 THOMAS JOHNSON DR",
            "address_2": "SUITE 215",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024397",
            "telephone_number": "301-668-9988",
            "fax_number": "301-668-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 THOMAS JOHNSON DR",
            "address_2": "SUITE 215",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024397",
            "telephone_number": "301-668-9988",
            "fax_number": "301-668-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONCHIGAR",
        "first_name": "MRUTHYUNJAYA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0050726",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MD",
            "license": "D0050726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PAIN MANAGEMENT",
            "identifier": "697L395D",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00875961",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Goldsmith, R.D, L.D.
• Adrianne L Golly, M.D.
• John Joseph Golski, D.D.S.
• Charmian Gomaa
• Ordisi Gomez
• Aida Gonzalez de Vodniza
• Andrea G Gonzalez-Mora
• Alexa Julissa Gonzalez, OTD, OTR/L
• Julian Gonzalez, LGPC
• Karla Elizabeth Gonzalez, LCSW-C

• Pain Medicine Physician in Frederick, MD
• Providers in Frederick, MD by specialty
• Pain Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.

Verify at the official NPI Registry.