Individual provider Active NPI

Alvin Prince Bannerjee, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Washington, DC
National Provider Identifier
1225329873
Registry record updated Apr 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
01549 Issued in MD
Practice address
1145 19TH St NW Ste 605
Washington, DC 20036-3731
Phone
(202) 833-9109
NPI assigned
Apr 29, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 01549 MD Primary

Addresses

Primary practice location

1145 19TH St NW Ste 605
Washington, DC 20036-3731

Mailing address

1600 E Gude Dr Ste 200
Rockville, MD 20850-1496
Phone (301) 933-7133

Other identifiers 1

IdentifierTypeStateIssuer
1225329873OtherCANPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140521001891 MD Practitioner - Podiatry 8921239864 Reassigns benefits to 1 organization
I20190509001690 DC Practitioner - Podiatry 8921239864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Specialists of the Mid-Atlantic LLCGroup PAC ID 6305017633, 157 clinicians
Frederick Health Hospital IncGroup PAC ID 0446149256, shared by 8 NPIs, 127 clinicians
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians
Amber Hill Physical Therapy IncGroup PAC ID 8527963917, 336 clinicians

Practice addresses (Care Compare)

1145 19TH St NW
Suite 605
Washington, DC 20036-3731
Phone (202) 833-9109

1194 Dutchmans Creek Dr
Brunswick, MD 21716-9786
Phone (240) 215-6310

12 Newport Dr
Forest Hill, MD 21050-1758

187 Thomas Johnson Dr
Frederick, MD 21702-4503

63 Thomas Johnson Dr
Suite C
Frederick, MD 21702-4396
Phone (301) 696-0818

Hospital & facility affiliations

  • Frederick Health Hospital Hospital, Frederick, MD, CCN 210005

Merit-based Incentive Payment System (MIPS)

Final score
88.95 of 100Reported as group
Promoting interoperability
87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue63
Removal of skin lesions92
Removal of nail tissue1123
Removal or shaving of skin growth375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Foot & Ankle Surgery CurrentSince Apr 4, 2019 Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Foot & Ankle Surgery CurrentSince Apr 4, 2019 Accepting new patients
Dupontdpm Inc. Foot & Ankle Surgery PastSince Mar 29, 2020 Accepting new patients
Frederick Foot and Ankle Specialists PastSince May 1, 2014 Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Foot & Ankle Surgery PastSince Mar 19, 2023 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1145 19th St NW
Ste 203
Washington, DC 20036
Phone (202) 833-9109

1145 19th St NW
Ste 605
Washington, DC 20036
Phone (202) 833-1003

6100 Daylong Ln
Ste 208
Clarksville, MD 21029
Phone (443) 535-8770

63 Thomas Johnson Dr
Ste C
Frederick, MD 21702
Phone (301) 696-0600

10901 Connecticut Ave
Ste 200
Kensington, MD 20895
Phone (301) 949-2000

8028 Ritchie Hwy
Ste 100
Pasadena, MD 21122
Phone (410) 356-9939

1600 E Gude Dr
Ste 200
Rockville, MD 20850

2415 Musgrove Rd
Ste 103
Silver Spring, MD 20904
Phone (301) 384-6500

8630 Fenton St
Ste 324
Silver Spring, MD 20910
Phone (301) 587-5666

Interoperability endpoints

  • Direct secure messaging: abannerjee@usfas.emadirect.md

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1225329873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E GUDE DR STE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501496",
            "telephone_number": "301-933-7133",
            "fax_number": "301-933-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 19TH ST NW STE 605",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363731",
            "telephone_number": "202-833-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANNERJEE",
        "first_name": "ALVIN",
        "middle_name": "PRINCE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-29",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1225329873",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.