Individual provider Active NPI

Andrew J Siekanowicz, M.D.

  • Specialist
  • Silver Spring, MD
National Provider Identifier
1316969025
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0051690 Issued in MD
Practice address
10313 Georgia Ave
107
Silver Spring, MD 20902-5006
Phone
(301) 681-3100
Fax
(301) 681-3367
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0051690 MD Primary

Addresses

Primary practice location

10313 Georgia Ave
107
Silver Spring, MD 20902-5006

Mailing address

10313 Georgia Ave
107
Silver Spring, MD 20902-5006
Phone (301) 681-3100

Other identifiers 1

IdentifierTypeStateIssuer
297613PMedicaidMD

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
I20050928000672 DC Practitioner - Orthopedic Surgery 0648205716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Georgetown University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rosenthal and Siekanowicz, LLCGroup PAC ID 1557498136, 2 clinicians

Practice addresses (Care Compare)

10313 Georgia Ave
Suite 107
Silver Spring, MD 20902-5006
Phone (301) 681-3100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Siekanowicz & Gowda LLC Specialist CurrentSince Jun 12, 2012 Accepting new patients
Medstar Southern Maryland Physicians, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Riverside Medical Associates PA Past Accepting new patients
Infectious Disease Asso of Southern MD Past Accepting new patients

Locations

8717 Greenbelt Rd
Ste 203
Greenbelt, MD 20770

10313 Georgia Ave
Ste 107
Silver Spring, MD 20902
Phone (301) 681-3100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24726/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1316969025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10313 GEORGIA AVE",
            "address_2": "107",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025006",
            "telephone_number": "301-681-3100",
            "fax_number": "301-681-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10313 GEORGIA AVE",
            "address_2": "107",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025006",
            "telephone_number": "301-681-3100",
            "fax_number": "301-681-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEKANOWICZ",
        "first_name": "ANDREW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0051690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "297613P",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.