Organization Active NPI

Mercy Thomaskutty M.D. Chartered

  • Anesthesiology Physician
  • Rockville, MD
National Provider Identifier
1326211806
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D002546 Issued in MD
Legal business name
MERCY THOMASKUTTY M.D. CHARTERED
Practice address
17854 Bowie Mill Rd
Rockville, MD 20855-1609
Phone
(301) 948-1515
Fax
(301) 948-1513
NPI assigned
Apr 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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

Authorized official

Name
Dr. Mercy Thomaskutty, M.D.NPI 1245380401
Title
President
Phone
(301) 948-1515

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X D002546 MD Primary

Addresses

Primary practice location

17854 Bowie Mill Rd
Rockville, MD 20855-1609

Mailing address

17854 Bowie Mill Rd
Rockville, MD 20855-1609
Phone (301) 948-1515

Other identifiers 2

IdentifierTypeStateIssuer
08286MK05OtherMDMARYLAND BLUESHIELD
7678OtherMDD.C.BLUECROSS BLUESHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1326211806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17854 BOWIE MILL RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208551609",
            "telephone_number": "301-948-1515",
            "fax_number": "301-948-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17854 BOWIE MILL RD",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208551609",
            "telephone_number": "301-948-1515",
            "fax_number": "301-948-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY THOMASKUTTY M.D. CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "THOMASKUTTY",
        "authorized_official_first_name": "MERCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-948-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D002546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND BLUESHIELD",
            "identifier": "08286MK05",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "D.C.BLUECROSS BLUESHIELD",
            "identifier": "7678",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.