NPIMap

Organization Active NPI

Dus Family Medical Practice, LLC

  • Family Medicine Physician
  • Greenbelt, MD
National Provider Identifier
1346423571
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0063394 Issued in MD
Legal business name
DUS FAMILY MEDICAL PRACTICE, LLC
Practice address
7525 Greenway Center Dr
Suite 105
Greenbelt, MD 20770-3509
Phone
(301) 313-0425
Fax
(301) 313-0435
NPI assigned
Dec 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Authorized official

Name
Mrs. Samira Khan
Title
Director
Phone
(301) 313-0425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X D0063394 MD Primary

Addresses

Primary practice location

7525 Greenway Center Dr
Suite 105
Greenbelt, MD 20770-3509

Mailing address

7525 Greenway Center Dr
Suite 105
Greenbelt, MD 20770-3509
Phone (301) 313-0425

Other identifiers 4

IdentifierTypeStateIssuer
9745569OtherMDCIGNA
K543OtherDCCAREFIRST DC
407632000MedicaidMD
660BDUOtherMDCAREFIRST BCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1346423571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 GREENWAY CENTER DR",
            "address_2": "SUITE 105",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703509",
            "telephone_number": "301-313-0425",
            "fax_number": "301-313-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 GREENWAY CENTER DR",
            "address_2": "SUITE 105",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703509",
            "telephone_number": "301-313-0425",
            "fax_number": "301-313-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUS FAMILY MEDICAL PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SAMIRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-313-0425",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0063394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9745569",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST DC",
            "identifier": "K543",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407632000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "660BDU",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.