Organization Active NPI

Viraj V Tirmal MD LLC

  • Internal Medicine Physician
  • Burtonsville, MD
National Provider Identifier
1063290690
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VIRAJ V TIRMAL MD LLC
Practice address
3905 National Dr Ste 220
Burtonsville, MD 20866-6106
Phone
(240) 389-1986
Fax
(240) 389-1186
NPI assigned
Sep 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Authorized official

Name
Dr. Viraj Tirmal, MDNPI 1164608568
Title
Physician / Owner
Phone
(240) 438-3930

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3905 National Dr Ste 220
Burtonsville, MD 20866-6106

Mailing address

3905 National Dr Ste 220
Burtonsville, MD 20866-6106
Phone (240) 389-1986

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231214001246 DC Part B Supplier - Clinic/Group Practice 7618326778 Receives reassigned benefits from 1 practitioner
Practice locations: Burtonsville, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D0707044Viraj V Tirmal, MD LLC3905 National Drive Ste 220, Burtonsville, MD 20866Certificate of waiverAug 17, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1063290690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 NATIONAL DR STE 220",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208666106",
            "telephone_number": "240-389-1986",
            "fax_number": "240-389-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 NATIONAL DR STE 220",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208666106",
            "telephone_number": "240-389-1986",
            "fax_number": "240-389-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRAJ V TIRMAL MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "TIRMAL",
        "authorized_official_first_name": "VIRAJ",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "240-438-3930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burtonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.