Active NPI
Andrew J Siekanowicz, M.D.
- Specialist
- Silver Spring, MD
National Provider Identifier
1316969025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D0051690
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 297613P | Medicaid | MD |
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
Enrollment records 1
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
Practice addresses (Care Compare)
10313 Georgia Ave
Suite 107
Silver Spring, MD 20902-5006
Phone (301) 681-3100
Procedures performed for Medicare patients
| Procedure | Number 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Siekanowicz & Gowda LLC | Specialist | Current | 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
- 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.
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- NPI 1538165527
-
- Infectious Disease Physician
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- NPI 1639131857
-
- Obstetrics & Gynecology Physician
- White Plains, MD
- NPI 1366644197
-
- Endocrinology, Diabetes & Metabolism Physician
- Riverdale, MD
- NPI 1730132648
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.