NPIMap

Individual provider Active NPI

Nasreen Kango, M.D.

  • Internal Medicine Physician
  • Takoma Park, MD
National Provider Identifier
1154355345
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0056147 Issued in MD
Practice address
7701 Carroll Ave
Takoma Park, MD 20912-7724
Phone
(301) 270-7606
Fax
(301) 260-7608
NPI assigned
Jul 11, 2006
Last updated
Jul 1, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0056147 MD Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X D0056147 MD

Addresses

Primary practice location

7701 Carroll Ave
Takoma Park, MD 20912-7724

Mailing address

409 Nature LN
Rockville, MD 20850-7767
Phone (301) 270-7606

Other identifiers 1

IdentifierTypeStateIssuer
414960200MedicaidMD

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
I20070524000681 DC Practitioner - Internal Medicine 9931206042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7701 Carroll Ave
Takoma Park, MD 20912-7724
Phone (301) 270-7606

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0056147MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nasreen M Kango Internal Medicine CurrentSince Sep 1, 2005 Accepting new patients
Nasreen M Kango Internal Medicine Current Accepting new patients
Hitech Analytical and Diagnostic Solutions PastSince Feb 14, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

501 W Franklin St
Baltimore, MD 21201
Phone (410) 537-4990

17B Firstfield Rd
Ste 207
Gaithersburg, MD 20878
Phone (301) 270-7606

7701 Carroll Ave
Takoma Park, MD 20912
Phone (301) 270-7606

Interoperability endpoints

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1154355345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 NATURE LN",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208507767",
            "telephone_number": "301-270-7606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 CARROLL AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209127724",
            "telephone_number": "301-270-7606",
            "fax_number": "301-260-7608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANGO",
        "first_name": "NASREEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0056147",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MD",
            "license": "D0056147",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "414960200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

Verify at the official NPI Registry.