Organization Active NPI

Metropolitan Internal Medicine Associates PA

  • Internal Medicine Physician
  • Bethesda, MD
National Provider Identifier
1104961150
Registry record updated May 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0056136 Issued in MD
Legal business name
METROPOLITAN INTERNAL MEDICINE ASSOCIATES PA
Practice address
5616 Shields Dr
Bethesda, MD 20817-3532
Phone
(301) 897-5522
Fax
(301) 897-2599
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2013

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

Authorized official

Name
Ali Niak, MD
Title
Physician
Phone
(301) 897-5522

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X D0053269 MD
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X D0056136 MD Primary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X D50220 MD

Addresses

Primary practice location

5616 Shields Dr
Bethesda, MD 20817-3532

Mailing address

5616 Shields Dr
Bethesda, MD 20817-3532
Phone (301) 897-5522

Other identifiers 1

IdentifierTypeStateIssuer
400252100MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368489600000",
    "number": "1104961150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5616 SHIELDS DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208173532",
            "telephone_number": "301-897-5522",
            "fax_number": "301-897-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5616 SHIELDS DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208173532",
            "telephone_number": "301-897-5522",
            "fax_number": "301-897-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN INTERNAL MEDICINE ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2013-05-14",
        "status": "A",
        "authorized_official_last_name": "NIAK",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "301-897-5522",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0053269",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0056136",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D50220",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400252100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; 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.