NPIMap

Individual provider Active NPI

Ravi Passi, MD

  • Internal Medicine Physician
  • Rockville, MD
National Provider Identifier
1114921665
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0028656 Issued in MD
Practice address
15245 Shady Grove Rd
Suite 130
Rockville, MD 20850-3222
Phone
(301) 527-1650
Fax
(301) 527-8752
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0028656 MD Primary

Addresses

Primary practice location

15245 Shady Grove Rd
Suite 130
Rockville, MD 20850-3222

Mailing address

PO Box 10067
Gaithersburg, MD 20898-0067
Phone (301) 527-1650

Other identifiers 1

IdentifierTypeStateIssuer
329231200MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101025000190 DC Practitioner - Internal Medicine 2365545415 Reassigns benefits to 2 organizations
I20160420000067 MD Practitioner - Internal Medicine 2365545415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ravi Passi MD PCGroup PAC ID 4284615931, 7 clinicians

Practice addresses (Care Compare)

15245 Shady Grove Rd
Suite 130
Rockville, MD 20850-6240
Phone (301) 527-1650

6410 Rockledge Dr
Bethesda, MD 20817-1844

848 S Rolling Hills Rd
Advanced Primary and Geriatric Care
Cantonsville, MD 21228-4141
Phone (301) 527-1650

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ravi Passi MD PC Internal Medicine CurrentSince Dec 1, 1997 Accepting new patients
Regency Care of Silver Spring, LLC Past Accepting new patients
Silver Spring Health, LLC Past Accepting new patients
Silver Spring MD Opco LLC Past Accepting new patients
Summit Hills MD Opco Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

848 S Rolling Rd
Catonsville, MD 21228
Phone (301) 527-1650

15245 Shady Grove Rd
Ste 130
Rockville, MD 20850
Phone (301) 527-1650

8609 2nd Ave
Ste 404B
Silver Spring, MD 20910
Phone (240) 398-3514

Interoperability endpoints

  • Direct secure messaging: ravi.passi@arpmp.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IICJCD/Endpoint/IICJCD

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Fairland CenterSilver Spring, MD, CCN 215015 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 1, 2024
Feb 5, 2025
Maplewood Park PlaceBethesda, MD, CCN 215287 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jun 1, 2018
Jun 1, 2018

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1114921665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10067",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208980067",
            "telephone_number": "301-527-1650",
            "fax_number": "301-527-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15245 SHADY GROVE RD",
            "address_2": "SUITE 130",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503222",
            "telephone_number": "301-527-1650",
            "fax_number": "301-527-8752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSI",
        "first_name": "RAVI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0028656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "329231200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.