Individual provider Active NPI

Huda Montemarano, M.D.

  • Pediatric Radiology Physician
  • Washington, DC
National Provider Identifier
1255454773
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Radiology PhysicianTaxonomy code 2085P0229X
License
MD21884 Issued in DC
Practice address
111 Michigan Ave NW
Diagnostic Imaging & Radiology
Washington, DC 20010-2970
Phone
(202) 884-5630
Fax
(202) 884-3644
NPI assigned
Apr 9, 2007
Sex
Female
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
Pediatric Radiology Physician 2085P0229X MD21884 DC Primary

Addresses

Primary practice location

111 Michigan Ave NW
Diagnostic Imaging & Radiology
Washington, DC 20010-2970

Mailing address

6612 Marywood Rd
Bethesda, MD 20817-2204

Other names 1

  • Huda Abdalati Former name

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD21884DCMDPediatric Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255454773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6612 MARYWOOD RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208172204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MICHIGAN AVE NW",
            "address_2": "DIAGNOSTIC IMAGING & RADIOLOGY",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102970",
            "telephone_number": "202-884-5630",
            "fax_number": "202-884-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTEMARANO",
        "first_name": "HUDA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "DC",
            "license": "MD21884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HUDA",
            "last_name": "ABDALATI",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Washington, DC

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.