Individual provider Active NPI

Shyamala Gopalan

  • Occupational Therapist
  • Washington, DC
National Provider Identifier
1336509629
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT010000329 Issued in DC
Practice address
1850 M St NW Ste 750
Washington, DC 20036-5818
Phone
(202) 835-2222
Fax
(202) 969-1798
NPI assigned
Feb 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 0119006779 VA
Occupational Therapist 225X00000X OT010000329 DC Primary

Addresses

Primary practice location

1850 M St NW Ste 750
Washington, DC 20036-5818

Mailing address

1850 M St NW Ste 750
Washington, DC 20036-5818
Phone (202) 835-2222

Other practice location 1

1015 18th St NW Ste 400
Washington, DC 20036-5209
Phone (202) 900-2245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160523000361 DC Practitioner - Occupational Therapist in Private Practice 4183923071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1850 M St NW
Suite 750
Washington, DC 20036-5818
Phone (202) 835-2222

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
86.7
Promoting interoperability
100
Improvement activities
40
Cost
73.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT010000329DCMDOccupational Therapist
0119006779VAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC Occupational Therapist CurrentSince Jan 1, 2018 Accepting new patients
Centers for Advanced Orthopaedics, LLC Occupational Therapist Current Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Jan 1, 2018 Accepting new patients
Orthopaedic Associates of Central Maryland, PA Past Accepting new patients

Locations

1015 18th St NW
Ste 300
Washington, DC 20036
Phone (202) 835-2222

1015 18th St NW
Ste 400
Washington, DC 20036
Phone (202) 827-8317

1850 M St NW
Ste 750
Washington, DC 20036
Phone (202) 835-2222

3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500

Organizations & group practices 4

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": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1336509629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 M ST NW STE 750",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365818",
            "telephone_number": "202-835-2222",
            "fax_number": "202-969-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 M ST NW STE 750",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200365818",
            "telephone_number": "202-835-2222",
            "fax_number": "202-969-1798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 18th St NW Ste 400",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200365209",
            "country_code": "US",
            "telephone_number": "202-900-2245",
            "fax_number": "202-900-2249",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOPALAN",
        "first_name": "SHYAMALA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-29",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "VA",
            "license": "0119006779",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "DC",
            "license": "OT010000329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.