Individual provider Active NPI

Shabnam Dadgar, M.D.

  • Obstetrics & Gynecology Physician
  • Gaithersburg, MD
National Provider Identifier
1265671465
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D72779 Issued in MD
Practice address
10810 Darnestown Rd Ste 202
Gaithersburg, MD 20878-2601
Phone
(240) 912-4546
Fax
(240) 912-4471
NPI assigned
Feb 11, 2009
Last updated
Dec 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X D72779 MD Primary

Addresses

Primary practice location

10810 Darnestown Rd Ste 202
Gaithersburg, MD 20878-2601

Mailing address

10810 Darnestown Rd Ste 202
Gaithersburg, MD 20878-2601
Phone (240) 912-4546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120724000141 DC Practitioner - Obstetrics/Gynecology 7214193028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10810 Darnestown Rd
Suite 202
Gaithersburg, MD 20878-2601
Phone (703) 991-9525

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Shady Grove Minimally Invasive CurrentSince Apr 1, 2012 Accepting new patients
Shady Grove Surgery Center LLC Obstetrics & Gynecology Current Accepting new patients

Locations

10810 Darnestown Rd
Ste 202
North Potomac, MD 20878
Phone (240) 912-4546

2403 Research Blvd
Ste 200
Rockville, MD 20850
Phone (240) 912-4546

1140 W Broad St
Ste 200
Falls Church, VA 22046
Phone (240) 912-4546

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1265671465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10810 DARNESTOWN RD STE 202",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782601",
            "telephone_number": "240-912-4546",
            "fax_number": "240-912-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10810 DARNESTOWN RD STE 202",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782601",
            "telephone_number": "240-912-4546",
            "fax_number": "240-912-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DADGAR",
        "first_name": "SHABNAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-11",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D72779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.