Individual provider Active NPI

Calman Philip Prussin, M.D.

  • Allergy & Immunology Physician
  • Bethesda, MD
National Provider Identifier
1225232374
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
917278 Issued in MD
Practice address
9000 Rockville Pike
Building 10, Room 11C207, National Institutes of Health
Bethesda, MD 20892-1881
Phone
(301) 496-1306
Fax
(301) 496-1306
NPI assigned
Jun 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 917278 MD Primary

Addresses

Primary practice location

9000 Rockville Pike
Building 10, Room 11C207, National Institutes of Health
Bethesda, MD 20892-1881

Mailing address

11608 Danville Dr
Rockville, MD 20852-3716
Phone (301) 770-2553

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
917278MDMDAllergy & Immunology Physician

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225232374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11608 DANVILLE DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523716",
            "telephone_number": "301-770-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 ROCKVILLE PIKE",
            "address_2": "BUILDING 10, ROOM 11C207, NATIONAL INSTITUTES OF HEALTH",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208921881",
            "telephone_number": "301-496-1306",
            "fax_number": "301-496-1306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUSSIN",
        "first_name": "CALMAN",
        "middle_name": "PHILIP",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MD",
            "license": "917278",
            "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 8, 2007; 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.