Active NPI
WVS Takoma Park LLC
- Ambulatory Surgical Clinic/Center
- Takoma Park, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- WVS TAKOMA PARK LLC
- Practice address
- 7610 Carroll Ave Ste 100
Takoma Park, MD 20912-6311 - Phone
- (301) 891-2500
- Fax
- (301) 448-1679
- NPI assigned
- Feb 20, 2023
- Last updated
- Feb 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mubashar Choudry, MD
- Title
- Owner
- Phone
- (301) 891-2500
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
7610 Carroll Ave Ste 100
Takoma Park, MD 20912-6311
Mailing address
7610 Carroll Ave Ste 100
Takoma Park, MD 20912-6311
Phone (301) 891-2500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1326746389. Details of each certification follow.
Ambulatory surgical center certification: CCN 21C0001681
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- WVS Takoma Park, LLC
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- Jul 29, 2024
- Last certification
- Apr 18, 2024
- Ownership / control type
- Proprietary
- Facility address
- 7610 Carroll Avenue, Suite 100
Takoma Park, MD 20912
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Takoma Park, MD
- NPI 1790753515
DC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676851200000",
"number": "1326746389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7610 CARROLL AVE STE 100",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209126311",
"telephone_number": "301-891-2500",
"fax_number": "301-448-1679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7610 CARROLL AVE STE 100",
"city": "TAKOMA PARK",
"state": "MD",
"postal_code": "209126311",
"telephone_number": "301-891-2500",
"fax_number": "301-448-1679"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WVS TAKOMA PARK LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-20",
"last_updated": "2023-02-20",
"certification_date": "2023-02-20",
"status": "A",
"authorized_official_last_name": "CHOUDRY",
"authorized_official_first_name": "MUBASHAR",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "301-891-2500",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Takoma Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.