Individual provider Active NPI

David Marc Band, M.D.

  • Psychiatry Physician
  • Ashburn, VA
National Provider Identifier
1043316094
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101036149 Issued in VA
Practice address
20905 Professional PLZ
Suite 220
Ashburn, VA 20147-7783
Phone
(703) 858-9841
Fax
(703) 858-9446
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101036149 VA Primary
Psychiatry Physician 2084P0800X D0050424 MD
Psychiatry Physician 2084P0800X C89207565 DC

Addresses

Primary practice location

20905 Professional PLZ
Suite 220
Ashburn, VA 20147-7783

Mailing address

7101 Sycamore Ave
Takoma Park, MD 20912-4634
Phone (301) 412-8432

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100421000586 MD Practitioner - Psychiatry 8325003205 Reassigns benefits to 1 organization
I20120503000000 VA Practitioner - Psychiatry 8325003205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
George Washington University School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Crossroads Psychological Associates LLCGroup PAC ID 9830234962, 4 clinicians

Practice addresses (Care Compare)

10784 Hickory Ridge Rd
Columbia, MD 21044-3646
Phone 410964042511

21001 Sycolin Rd
Suite 360
Ashburn, VA 20147-4331
Phone (703) 858-9841

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C89207565DCMDPsychiatry Physician
D0050424MDMDPsychiatry Physician
0101036149VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Psychological Associates LLC CurrentSince Apr 24, 2010 Accepting new patients
Affiliated Sante Group Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

10784 Hickory Ridge Rd
Columbia, MD 21044
Phone (410) 964-0425

Organizations & group practices 4

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043316094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 SYCAMORE AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209124634",
            "telephone_number": "301-412-8432",
            "fax_number": "703-858-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20905 PROFESSIONAL PLZ",
            "address_2": "SUITE 220",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201477783",
            "telephone_number": "703-858-9841",
            "fax_number": "703-858-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAND",
        "first_name": "DAVID",
        "middle_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101036149",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0050424",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "C89207565",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburn, VA

Sources for this page

Verify at the official NPI Registry.