NPIMap

Organization Active NPI

Washington Cardiovascular Institute LLC

  • Cardiovascular Disease Physician
  • Takoma Park, MD
National Provider Identifier
1205835485
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D42222 Issued in MD
Legal business name
WASHINGTON CARDIOVASCULAR INSTITUTE LLC
Practice address
7610 Carroll Ave Ste 100
Takoma Park, MD 20912-6311
Phone
(301) 891-2500
Fax
(301) 891-1704
NPI assigned
Jul 19, 2005
Last updated
May 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Authorized official

Name
Mubashar A. Choudry, M.D.NPI 1770585150
Title
Medical Director
Phone
(301) 891-2500

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X
Legal Medicine 173000000X
Cardiovascular Disease Physician 207RC0000X D42222 MD Primary
Podiatrist 213E00000X

Addresses

Primary practice location

7610 Carroll Ave Ste 100
Takoma Park, MD 20912-6311

Mailing address

7610 Carroll Ave
Suite 100
Takoma Park, MD 20912
Phone (301) 891-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040521000160 DC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 1254322985 Reassigns benefits to 3 organizations
Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Glenn Dale, MD
O20050707000548 DC Part B Supplier - Clinic/Group Practice 7517903982 Receives reassigned benefits from 23 practitioners
Practice locations: Fairfax, VA; Germantown, MD; Largo, MD; Riverdale, MD; Takoma Park, MD; Washington, DC
O20170104001162 MD Part B Supplier - Clinic/Group Practice 7517903982 Receives reassigned benefits from 22 practitioners
Practice locations: Baltimore, MD; Frederick, MD; Waldorf, MD

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

106 Irving St NW
Ste 218
Washington, DC 20010
Phone (202) 309-5980

1310 Southern Ave SE
Ste 1060
Washington, DC 20032

2041 Martin Luther King Jr Ave SE
Ste 10
Washington, DC 20020

2041 Martin Luther King Jr Ave SE
Ste 103M
Washington, DC 20020

7335 Hanover Pkwy
Ste B
Greenbelt, MD 20770
Phone (301) 345-6400

7610 Carroll Ave
Ste 110
Takoma Park, MD 20912

2812 Old Lee Hwy
Ste 100B
Fairfax, VA 22031
Phone (571) 279-6849

Practitioners & affiliated clinicians

Practitioners 33

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.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1205835485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7610 CARROLL AVE",
            "address_2": "SUITE 100",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "20912",
            "telephone_number": "301-891-2500",
            "fax_number": "301-891-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7610 CARROLL AVE STE 100",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126311",
            "telephone_number": "301-891-2500",
            "fax_number": "301-891-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON CARDIOVASCULAR INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "CHOUDRY",
        "authorized_official_first_name": "MUBASHAR",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "301-891-2500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D42222",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.