NPIMap

Individual provider Active NPI

Sunitha Bhogavilli, M.D.

  • Internal Medicine Physician
  • Silver Spring, MD
National Provider Identifier
1114953452
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0054566 Issued in MD
Practice address
9801 Georgia Ave
Suite 117
Silver Spring, MD 20902-5276
Phone
(301) 592-0461
Fax
(301) 260-2838
NPI assigned
Jun 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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 D0054566 MD Primary

Addresses

Primary practice location

9801 Georgia Ave
Suite 117
Silver Spring, MD 20902-5276

Mailing address

PO Box 157
Ashton, MD 20861-0157
Phone (301) 570-9700

Other identifiers 3

IdentifierTypeStateIssuer
634000800MedicaidMD
19DMSOtherMDBLUE CROSS BLUE SHIELD
52550001OtherDCBLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040825000336 DC Practitioner - Internal Medicine 3072587088 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Howard University College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9801 Georgia Ave
Suite 117
Silver Spring, MD 20902-5276
Phone (301) 592-0461

Hospital & facility affiliations

  • Tuckerman Rehabilitation and Healthcare Center Nursing home, North Bethesda, MD, CCN 215320

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sunitha Bhogavilli, MD PC Internal Medicine CurrentSince Jan 1, 2005 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Ravi Passi MD PC Internal Medicine Past Accepting new patients
Five Star Physician Services, LLC Internal Medicine Past Accepting new patients

Locations

9801 Georgia Ave
Ste 117
Silver Spring, MD 20902
Phone (301) 592-0461

Interoperability endpoints

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

Organizations & group practices 4

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 1

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": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1114953452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "city": "ASHTON",
            "state": "MD",
            "postal_code": "208610157",
            "telephone_number": "301-570-9700",
            "fax_number": "301-260-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 GEORGIA AVE",
            "address_2": "SUITE 117",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025276",
            "telephone_number": "301-592-0461",
            "fax_number": "301-260-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHOGAVILLI",
        "first_name": "SUNITHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0054566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "634000800",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "19DMS",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "52550001",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.