Individual provider Active NPI

Avneet Kaur, CRNP

  • Family Nurse Practitioner
  • Rockville, MD
National Provider Identifier
1144704735
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R208338 Issued in MD
Practice address
15245 Shady Grove Rd Ste 130
Rockville, MD 20850-6240
Phone
(301) 527-1650
NPI assigned
Sep 19, 2018
Last updated
Oct 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R208338 MD Primary

Addresses

Primary practice location

15245 Shady Grove Rd Ste 130
Rockville, MD 20850-6240

Mailing address

11 Lazy Hollow Way
Gaithersburg, MD 20878-2768
Phone (347) 446-5133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181128003049 MD Practitioner - Nurse Practitioner 0840534046 Reassigns benefits to 2 organizations
I20181205000125 DC Practitioner - Nurse Practitioner 0840534046 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Healthcare Services, LLCGroup PAC ID 4688976723, 10 clinicians

Practice addresses (Care Compare)

10110 Molecular Dr
Suite 101
Rockville, MD 20850-7538
Phone (301) 444-4402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ravi Passi MD PC CurrentSince Nov 1, 2018 Accepting new patients
Premier Healthcare Services, LLC CurrentSince Sep 1, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

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

10110 Molecular Dr
Ste 101
Rockville, MD 20850
Phone (301) 444-4402

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

6501 N Charles St
Towson, MD 21204
Phone (410) 938-3000

Interoperability endpoints

  • Direct secure messaging: avneet.kaur@phcsl.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1144704735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 LAZY HOLLOW WAY",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782768",
            "telephone_number": "347-446-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15245 SHADY GROVE RD STE 130",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506240",
            "telephone_number": "301-527-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUR",
        "first_name": "AVNEET",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R208338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.