Active NPI
Shirley Gomez-Cheng
- Nurse Practitioner
- Silver Spring, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R187077
- Practice address
- 1400 Forest Glen Rd
Silver Spring, MD 20910-1459 - Phone
- (301) 905-3500
- NPI assigned
- Jun 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R187077 | MD | Primary |
Addresses
Primary practice location
1400 Forest Glen Rd
Silver Spring, MD 20910-1459
Mailing address
1400 Forest Glen Rd
Silver Spring, MD 20910-1459
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10816 Hickory Ridge Rd
Columbia, MD 21044-3622
Phone (410) 997-7677
6510 Kenilworth Ave
Suite 2500
Riverdale, MD 20737-1346
Phone (410) 997-7677
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imran H Chowdhury MD PA | Current | Accepting new patients |
Locations
10816 Hickory Ridge Rd
Columbia, MD 21044
Phone (410) 997-7677
3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000
6510 Kenilworth Ave
Ste 2500
Riverdale, MD 20737
Phone (301) 927-9600
Organizations & group practices 1
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": "1718582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718582400000",
"number": "1063255222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 FOREST GLEN RD",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209101459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 FOREST GLEN RD",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209101459",
"telephone_number": "301-905-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOMEZ-CHENG",
"first_name": "SHIRLEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-17",
"last_updated": "2024-06-17",
"certification_date": "2024-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MD",
"license": "R187077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.