Individual provider Active NPI

Vicken K Poochikian, M.D.

  • Internal Medicine Physician
  • Bladensburg, MD
National Provider Identifier
1174568463
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0034722 Issued in MD
Practice address
5632 Annapolis Rd Ste 3
Bladensburg, MD 20710-2213
Phone
(301) 779-7607
Fax
(301) 927-0335
NPI assigned
Jun 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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 D0034722 MD Primary

Addresses

Primary practice location

5632 Annapolis Rd Ste 3
Bladensburg, MD 20710-2213

Mailing address

5632 Annapolis Rd Ste 3
Bladensburg, MD 20710-2213
Phone (301) 779-7607

Other identifiers 1

IdentifierTypeStateIssuer
1427219997OtherDC1427219997 ENTITY NUMBER 2 LINKED 217153 TO 517588

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110607000127 DC Practitioner - Family PracticePractitioner - Internal Medicine 1658558366 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sun Rise Rehab LLCGroup PAC ID 4880783810, 22 clinicians

Practice addresses (Care Compare)

7249 Hanover Pkwy
Suite a
Greenbelt, MD 20770-3608
Phone (301) 613-8923

Merit-based Incentive Payment System (MIPS)

Final score
87.66 of 100Reported as individual
Quality
71.18
Improvement activities
40
Cost
87.98

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0034722MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vicken Poochikian MD P a Internal Medicine CurrentSince Dec 14, 2010 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5632 Annapolis Rd
Ste 3
Bladensburg, MD 20710
Phone (301) 779-7607

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1174568463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5632 ANNAPOLIS RD STE 3",
            "city": "BLADENSBURG",
            "state": "MD",
            "postal_code": "207102213",
            "telephone_number": "301-779-7607",
            "fax_number": "301-927-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5632 ANNAPOLIS RD STE 3",
            "city": "BLADENSBURG",
            "state": "MD",
            "postal_code": "207102213",
            "telephone_number": "301-779-7607",
            "fax_number": "301-927-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOCHIKIAN",
        "first_name": "VICKEN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0034722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1427219997 ENTITY NUMBER 2 LINKED  217153 TO  517588",
            "identifier": "1427219997",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bladensburg, MD

Sources for this page

Verify at the official NPI Registry.