Individual provider Active NPI

Shirley Gomez-Cheng

  • Nurse Practitioner
  • Silver Spring, MD
National Provider Identifier
1063255222
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R187077 Issued in MD
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

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240919002510 MD Practitioner - Nurse Practitioner 8022559889 Reassigns benefits to 1 organization
I20241003001780 DC Practitioner - Nurse Practitioner 8022559889 Reassigns benefits to 1 organization

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
Imran H Chowdhury MD PAGroup PAC ID 3274554126, 18 clinicians

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

OrganizationSpecialtyStatusNew patients
Imran H Chowdhury MD PA CurrentSince Aug 1, 2024 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

Verify at the official NPI Registry.