Individual provider Active NPI

Jonathan R Bowles, M.D.

  • Diagnostic Radiology Physician
  • Germantown, MD
National Provider Identifier
1083685853
Registry record updated Jul 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D56429 Issued in MD
Practice address
20410 Observation Dr
Suite 104
Germantown, MD 20876-4000
Phone
(301) 948-5700
Fax
(301) 212-4277
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D56429 MD Primary

Addresses

Primary practice location

20410 Observation Dr
Suite 104
Germantown, MD 20876-4000

Mailing address

20410 Observation Dr
Suite 104
Germantown, MD 20876-4000
Phone (301) 948-5700

Other identifiers 1

IdentifierTypeStateIssuer
976200100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050407000244 DC Practitioner - Diagnostic Radiology 6002863453 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Howard University College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blackwell Physicians, LLCGroup PAC ID 2163810383, 67 clinicians

Practice addresses (Care Compare)

11711 Livingston Rd
Fort Washington, MD 20744-5151
Phone (301) 203-2246

11886 Healing Way
102 Ahc Imaging
Silver Spring, MD 20904-7917
Phone (240) 637-6120

11890 Healing Way
Ahc Imaging
Silver Spring, MD 20904-7917
Phone (240) 637-6222

12008 Cherry Hill Rd
Silver Spring, MD 20904-1985
Phone (240) 780-4000

6000 Executive Boulevard
302 Ahc Imaging
Rockville, MD 20852-3803
Phone (301) 656-7226

9601 Blackwell Rd
Suite 150
Rockville, MD 20850-6474
Phone (240) 864-1100

9901 Medical Ctr Dr
Rockville, MD 20850-3357
Phone (240) 826-6074

Hospital & facility affiliations

  • Adventist Healthcare Shady Grove Medical Center Hospital, Rockville, MD, CCN 210057
  • Adventist Healthcare White Oak Medical Center Hospital, Silver Spring, MD, CCN 210016
  • Adventist Healthcare Fort Washington Medical Ctr Hospital, Fort Washington, MD, CCN 210060

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D56429MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blackwell Physicians, LLC Diagnostic Radiology CurrentSince Nov 1, 2021 Accepting new patients
Washington Open MRI Inc Past Accepting new patients
Washington Open MRI Inc Past Accepting new patients
Washington Open MRI Inc Diagnostic Radiology PastSince Jan 1, 2005 Accepting new patients

Locations

9601 Blackwell Rd
Ste 150
Rockville, MD 20850
Phone (240) 864-1100

9711 Medical Center Dr
Ste 101
Rockville, MD 20850
Phone (301) 330-5401

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248220800000",
    "number": "1083685853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20410 OBSERVATION DR",
            "address_2": "SUITE 104",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764000",
            "telephone_number": "301-948-5700",
            "fax_number": "301-212-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20410 OBSERVATION DR",
            "address_2": "SUITE 104",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208764000",
            "telephone_number": "301-948-5700",
            "fax_number": "301-212-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWLES",
        "first_name": "JONATHAN",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2009-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D56429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "976200100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

Verify at the official NPI Registry.