Individual provider Active NPI

Robert Steven Pankopf, M.D.

  • Child & Adolescent Psychiatry Physician
  • Bethesda, MD
National Provider Identifier
1184889214
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
D0062777 Issued in MD
Practice address
10401 Old Georgetown Rd
Suite #300
Bethesda, MD 20814-1911
Phone
(301) 571-8145
Fax
(301) 571-8147
NPI assigned
Jul 29, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X D0062777 MD Primary

Addresses

Primary practice location

10401 Old Georgetown Rd
Suite #300
Bethesda, MD 20814-1911

Mailing address

10401 Old Georgetown Rd
Suite #300
Bethesda, MD 20814-1911
Phone (301) 571-8145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0062777MDMDChild & Adolescent Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217289600000",
    "number": "1184889214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10401 OLD GEORGETOWN RD",
            "address_2": "SUITE #300",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141911",
            "telephone_number": "301-571-8145",
            "fax_number": "301-571-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 OLD GEORGETOWN RD",
            "address_2": "SUITE #300",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208141911",
            "telephone_number": "301-571-8145",
            "fax_number": "301-571-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANKOPF",
        "first_name": "ROBERT",
        "middle_name": "STEVEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MD",
            "license": "D0062777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.