Individual provider Active NPI

Jehangir Madan, N.P. - B.C.

  • Family Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1164744397
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R205959 Issued in MD
Practice address
86 Thomas Johnson CT
Frederick, MD 21702-4348
Phone
(301) 694-8311
Fax
(301) 694-3537
NPI assigned
Feb 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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 R205959 MD Primary

Addresses

Primary practice location

86 Thomas Johnson CT
Frederick, MD 21702-4348

Mailing address

799 Rockville Pike
Rockville, MD 20852-1136
Phone (301) 340-2683

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jehangir.madan.1@3812.direct.athenahealth.com

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
I20130923000478 MD Practitioner - Nurse Practitioner 0648395517 Reassigns benefits to 3 organizations
I20130924000507 DC Practitioner - Nurse Practitioner 0648395517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain and Spine Specialists of Maryland LLCGroup PAC ID 2668628124, 32 clinicians

Practice addresses (Care Compare)

2702 Back Acre Cir
Suite 290B
Mount Airy, MD 21771-7769
Phone (301) 703-8767

6000 Executive Blvd
Suite 602
Rockville, MD 20852-3820
Phone (301) 703-8767

Merit-based Incentive Payment System (MIPS)

Final score
92.08 of 100Reported as group
Quality
76.5
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pain and Spine Specialists of Maryland, LLC CurrentSince Sep 28, 2020 Accepting new patients
Centers for Advanced Orthopaedics, LLC Current Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Mar 16, 2015 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Mar 16, 2015 Accepting new patients
Advanced Surgeons & Physicians Network, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Christopher R Lockhart MD, PA Past Accepting new patients
Ninh Neurospine Institute PA Past Accepting new patients

Locations

6816 Deerpath Rd
Elkridge, MD 21075
Phone (410) 757-5019

6816 Deerpath Rd
Ste 201
Elkridge, MD 21075
Phone (443) 483-6800

5303 Spectrum Dr
Ste A
Frederick, MD 21703
Phone (240) 215-6047

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

7200 Bank Ct
Ste 120
Frederick, MD 21703
Phone (301) 363-1063

1120 Professional Ct
Hagerstown, MD 21740
Phone (301) 363-1063

1704 Back Acre Cir
Mount Airy, MD 21771
Phone (301) 363-1063

2702 Back Acre Cir
Ste 290B
Mount Airy, MD 21771
Phone (301) 760-3317

6000 Executive Blvd
Ste 602
Rockville, MD 20852
Phone (301) 770-6301

9707 Medical Center Dr
Ste 100
Rockville, MD 20850
Phone (301) 760-3357

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11878/brand/3/csg/1/fhir/r4
  • Direct secure messaging: jehangir.madan.1@3812.direct.athenahealth.com
  • Direct secure messaging: jehangir.madan.1@11878.direct.athenahealth.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1164744397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "799 ROCKVILLE PIKE",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521136",
            "telephone_number": "301-340-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 THOMAS JOHNSON CT",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024348",
            "telephone_number": "301-694-8311",
            "fax_number": "301-694-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADAN",
        "first_name": "JEHANGIR",
        "credential": "N.P. - B.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-15",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R205959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jehangir.madan.1@3812.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "86 Thomas Johnson Ct",
            "city": "Frederick",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217024348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.