Organization Active NPI

Potomac OB GYN

  • Obstetrics & Gynecology Physician
  • Rockville, MD
National Provider Identifier
1144977372
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
POTOMAC OB GYN
Practice address
10110 Molecular Dr Ste 209
Rockville, MD 20850-7547
Phone
(301) 654-2275
Fax
(301) 654-2456
NPI assigned
Mar 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Authorized official

Name
Dr. Leslie Badra Masiky, MDNPI 1730382979
Title
Co-President
Phone
(301) 654-2275

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

10110 Molecular Dr Ste 209
Rockville, MD 20850-7547

Mailing address

10110 Molecular Dr Ste 209
Rockville, MD 20850-7547
Phone (301) 654-2275

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address POTOMACOBGYNLLC.aliyaposhni@152502.advancedmd-direct.com Health Information Exchange (HIE)
Direct Messaging Address POTOMACOBGYNLLC.lesliemasiky@152502.advancedmd-direct.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230331000579 DC Part B Supplier - Clinic/Group Practice 2860867082 Receives reassigned benefits from 2 practitioners
Practice locations: Rockville, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2259504Potomac OB GYN LLC10110 Molecular Dr Suite 209, Rockville, MD 20850Provider-performed microscopyMay 5, 2028

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: potomacobgynllc.lesliemasiky@152502.advancedmd-direct.com
  • Direct secure messaging: potomacobgynllc.aliyaposhni@152502.advancedmd-direct.com

Practitioners & affiliated clinicians

Practitioners 2

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": "1646697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1144977372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10110 MOLECULAR DR STE 209",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208507547",
            "telephone_number": "301-654-2275",
            "fax_number": "301-654-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 MOLECULAR DR STE 209",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208507547",
            "telephone_number": "301-654-2275",
            "fax_number": "301-654-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC OB GYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-08",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "MASIKY",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "BADRA",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "301-654-2275",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "POTOMACOBGYNLLC.aliyaposhni@152502.advancedmd-direct.com",
            "affiliation": "N",
            "endpointDescription": "Aliya Poshni, MD",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "10110 Molecular Dr Ste 209",
            "city": "Rockville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208507547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "POTOMACOBGYNLLC.lesliemasiky@152502.advancedmd-direct.com",
            "affiliation": "N",
            "endpointDescription": "Leslie Masiky, MD",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "10110 Molecular Dr Ste 209",
            "city": "Rockville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208507547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.