NPIMap

Organization Active NPI

Frederick Medical & Pulmonary Assoc

  • Specialist
  • Frederick, MD
National Provider Identifier
1184817512
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
174400000X Issued in MD
Legal business name
FREDERICK MEDICAL & PULMONARY ASSOC
Doing business as
Frederick Medical & Pulmonary Assoc
Practice address
7115 Guilford Drive #202
Frederick, MD 21704
Phone
(301) 663-5922
Fax
(301) 663-8292
NPI assigned
Aug 20, 2007
Last updated
Sep 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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

Authorized official

Name
Neil Waravdekar, MDNPI 1780685784
Title
President
Phone
(301) 663-5922

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
Specialist 174400000X 174400000X MD Primary

Addresses

Primary practice location

7115 Guilford Drive #202
Frederick, MD 21704

Mailing address

7115 Guilford Drive #202
Frederick, MD 21704
Phone (301) 663-5922

Other names 1

  • Frederick Medical & Pulmonary Assoc Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040803001656 MD Part B Supplier - Clinic/Group Practice 3274504287 Receives reassigned benefits from 6 practitioners
Practice locations: Frederick, MD

National Provider Directory

National Provider Directory

Locations

1475 Taney Ave
Ste 204
Frederick, MD 21702
Phone (301) 663-0881

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474502400000",
    "number": "1184817512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7115 GUILFORD DRIVE #202",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21704",
            "telephone_number": "301-663-5922",
            "fax_number": "301-663-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 GUILFORD DRIVE #202",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21704",
            "telephone_number": "301-663-5922",
            "fax_number": "301-663-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK MEDICAL & PULMONARY ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-20",
        "last_updated": "2016-09-22",
        "status": "A",
        "authorized_official_last_name": "WARAVDEKAR",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-663-5922",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "174400000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frederick Medical & Pulmonary Assoc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.