Organization Active NPI

Healthrise Lotus Care,LLC

  • Gynecology Physician
  • College Park, MD
National Provider Identifier
1104867217
Registry record updated Jun 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
HEALTHRISE LOTUS CARE,LLC
Practice address
7307,Baltimore Ave.
212
College Park, MD 20740
Phone
(301) 699-1515
Fax
(301) 779-3685
NPI assigned
Jun 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2008

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

Authorized official

Name
Dr. Vibhakar J Mody, M.D.
Title
Owner
Phone
(301) 699-1515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X MD Primary

Addresses

Primary practice location

7307,Baltimore Ave.
212
College Park, MD 20740

Mailing address

7307,Baltimore Ave.
212
College Park, MD 20740
Phone (301) 699-1515

National Provider Directory

National Provider Directory

Locations

7307 Baltimore Ave
Ste 212
College Park, MD 20740
Phone (301) 699-1515

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10131/brand/1/csg/1/fhir/r4

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": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1104867217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7307,BALTIMORE AVE.",
            "address_2": "212",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "20740",
            "telephone_number": "301-699-1515",
            "fax_number": "301-779-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7307,BALTIMORE AVE.",
            "address_2": "212",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "20740",
            "telephone_number": "301-699-1515",
            "fax_number": "301-779-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHRISE LOTUS CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "MODY",
        "authorized_official_first_name": "VIBHAKAR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-699-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.