Organization Active NPI

Potomac Nephrology, Inc.

  • Nephrology Physician
  • Germantown, MD
National Provider Identifier
1245242528
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
D40201 Issued in MD
Legal business name
POTOMAC NEPHROLOGY, INC.
Practice address
1 Executive Park CT
Germantown, MD 20874-2643
Phone
(301) 528-3580
Fax
(301) 528-3589
NPI assigned
Aug 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Farzad Assar, M.D.NPI 1447261615
Title
President
Phone
(301) 528-3580

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X D40201 MD
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X D40201 MD Primary

Addresses

Primary practice location

1 Executive Park CT
Germantown, MD 20874-2643

Mailing address

1 Executive Park CT
Germantown, MD 20874-2643
Phone (301) 528-3580

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041018000876 DC Part B Supplier - Clinic/Group Practice 3870553456 Receives reassigned benefits from 1 practitioner
Practice locations: Germantown, MD

National Provider Directory

National Provider Directory

Locations

1 Executive Park Ct
Germantown, MD 20874
Phone (301) 528-3580

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1245242528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EXECUTIVE PARK CT",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742643",
            "telephone_number": "301-528-3580",
            "fax_number": "301-528-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EXECUTIVE PARK CT",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742643",
            "telephone_number": "301-528-3580",
            "fax_number": "301-528-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC NEPHROLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ASSAR",
        "authorized_official_first_name": "FARZAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-528-3580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D40201",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D40201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.