Organization Active NPI

Maryland Urogynecology, LLP

  • Gynecology Physician
  • Rockville, MD
National Provider Identifier
1083842124
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
MARYLAND UROGYNECOLOGY, LLP
Practice address
9707 Medical Center Dr Ste 220
Rockville, MD 20850-6338
Phone
(240) 645-4683
Fax
(240) 654-4696
NPI assigned
Jun 28, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Authorized official

Name
Thao Nguyen, MDNPI 1932318490
Title
Owner
Phone
(240) 654-4683

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
Gynecology Physician 207VG0400X Primary

Addresses

Primary practice location

9707 Medical Center Dr Ste 220
Rockville, MD 20850-6338

Mailing address

9707 Medical Center Dr Ste 220
Rockville, MD 20850-6338
Phone (240) 645-4683

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090827000239 DC Part B Supplier - Clinic/Group Practice 7810042843 Receives reassigned benefits from 1 practitioner
Practice locations: Rockville, 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
21D1105315Maryland Urogynecology LLP9707 Medical Center Dr Ste 220, Rockville, MD 20850Provider-performed microscopySep 21, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BIBHAA

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": "1246147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1083842124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9707 MEDICAL CENTER DR STE 220",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506338",
            "telephone_number": "240-645-4683",
            "fax_number": "240-654-4696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9707 MEDICAL CENTER DR STE 220",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506338",
            "telephone_number": "240-645-4683",
            "fax_number": "240-654-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND UROGYNECOLOGY, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-28",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THAO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-654-4683",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.