Individual provider Active NPI

Evgenia Gourgari

  • Pediatrics Physician
  • Bethesda, MD
National Provider Identifier
1295046530
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
TRN 10977 Issued in FL
Practice address
Nih Developmental Endocrinology & Genetics
BLDG. 10, Room 9D-42 ,10 Center Drive MSC 1830
Bethesda, MD 20892-0001
Phone
(301) 451-1466
NPI assigned
Jun 30, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X TRN 10977 FL Primary

Addresses

Primary practice location

Nih Developmental Endocrinology & Genetics
BLDG. 10, Room 9D-42 ,10 Center Drive MSC 1830
Bethesda, MD 20892-0001

Mailing address

Nih Developmental Endocrinology & Genetics
BLDG. 10, Room 9D-42 , 10 Center Drive MSC 1830
Bethesda, MD 20892-0001
Phone (301) 451-1466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131023000808 DC Practitioner - Pediatric Medicine 4688809940 Reassigns benefits to 2 organizations
I20131123000076 MD Practitioner - Pediatric Medicine 4688809940 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN 10977FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince May 1, 2025 Accepting new patients
Medstar Medical Group II LLC CurrentSince Aug 26, 2013 Accepting new patients
Medstar Medical Group II LLC CurrentSince May 1, 2025 Accepting new patients
MGMC, LLC CurrentSince Aug 26, 2013 Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

4200 Wisconsin Ave NW
Ste 400
Washington, DC 20016
Phone (202) 243-3558

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

621 Ridgely Ave
Ste 201
Annapolis, MD 21401
Phone (410) 224-4887

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

18111 Prince Philip Dr
Ste 104
Olney, MD 20832
Phone (301) 570-8899

Organizations & group practices 6

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": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1295046530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NIH DEVELOPMENTAL ENDOCRINOLOGY & GENETICS",
            "address_2": "BLDG. 10, ROOM 9D-42 , 10 CENTER DRIVE MSC 1830",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208920001",
            "telephone_number": "301-451-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NIH DEVELOPMENTAL ENDOCRINOLOGY & GENETICS",
            "address_2": "BLDG. 10, ROOM 9D-42 ,10 CENTER DRIVE MSC 1830",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208920001",
            "telephone_number": "301-451-1466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOURGARI",
        "first_name": "EVGENIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "TRN 10977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.