Active NPI
Menon Medical Center LLC
- Internal Medicine Physician
- Kensington, MD
National Provider Identifier
1245636455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0057879
- Legal business name
- MENON MEDICAL CENTER LLC
- Practice address
- 10605 Concord St
Suite 300
Kensington, MD 20895-2504 - Phone
- (301) 942-9833
- Fax
- (301) 942-9837
- NPI assigned
- Nov 15, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Roji Menon, MD
- Title
- President
- Phone
- (301) 942-9833
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0057879 | MD | Primary |
Addresses
Primary practice location
10605 Concord St
Suite 300
Kensington, MD 20895-2504
Mailing address
PO Box 645
Kensington, MD 20895-0645
Phone (301) 942-9833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6010 Executive Blvd
Ste 1040
Rockville, MD 20852
Phone (301) 942-9833
Practitioners & affiliated clinicians
Practitioners 2
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": "1416009600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1459987200000",
"number": "1245636455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 645",
"city": "KENSINGTON",
"state": "MD",
"postal_code": "208950645",
"telephone_number": "301-942-9833",
"fax_number": "301-942-9837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10605 CONCORD ST",
"address_2": "SUITE 300",
"city": "KENSINGTON",
"state": "MD",
"postal_code": "208952504",
"telephone_number": "301-942-9833",
"fax_number": "301-942-9837"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MENON MEDICAL CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-15",
"last_updated": "2016-04-07",
"status": "A",
"authorized_official_last_name": "MENON",
"authorized_official_first_name": "ROJI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-942-9833",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0057879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kensington, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.