Individual provider Active NPI

Gian-Paul Vidal, M.D.

  • Surgery Physician
  • Silver Spring, MD
National Provider Identifier
1093079451
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D0088576 Issued in MD
Practice address
8630 Fenton St Ste 122
Silver Spring, MD 20910-3803
Phone
(301) 588-0057
NPI assigned
Jun 30, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X D0088576 MD Primary

Addresses

Primary practice location

8630 Fenton St Ste 122
Silver Spring, MD 20910-3803

Mailing address

8630 Fenton St
Ste 122
Silver Spring, MD 20910-3803
Phone (301) 588-0057

Other practice location 1

1 Robert Wood Johnson Pl
Meb 596
New Brunswick, NJ 08901-1928
Phone (732) 235-7674

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
I20200309000857 DC Practitioner - General Surgery 7517395486 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Capitol Surgeons LLCGroup PAC ID 4284653023, 4 clinicians

Practice addresses (Care Compare)

8630 Fenton St
Suite 122
Silver Spring, MD 20910-3803
Phone (301) 588-0057

Hospital & facility affiliations

  • Holy Cross Hospital Hospital, Silver Spring, MD, CCN 210004
  • Holy Cross Germantown Hospital Hospital, Germantown, MD, CCN 210065

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0088576MDMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capitol Surgeons, LLC Single Specialty CurrentSince Feb 1, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

12850 Middlebrook Rd
Ste 460
Germantown, MD 20874
Phone (301) 588-0057

8630 Fenton St
Ste 122
Silver Spring, MD 20910
Phone (301) 588-0057

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

Interoperability endpoints

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

Organizations & group practices 2

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": "1341014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1093079451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8630 FENTON ST",
            "address_2": "STE 122",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103803",
            "telephone_number": "301-588-0057",
            "fax_number": "301-588-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8630 FENTON ST STE 122",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209103803",
            "telephone_number": "301-588-0057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Robert Wood Johnson Pl",
            "address_2": "MEB 596",
            "address_purpose": "LOCATION",
            "city": "New Brunswick",
            "state": "NJ",
            "postal_code": "089011928",
            "country_code": "US",
            "telephone_number": "732-235-7674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIDAL",
        "first_name": "GIAN-PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-30",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0088576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.