NPIMap

Organization Active NPI

Washington Vascular Specialists of Baltimore

Doing business as WVS Baltimore

  • Ambulatory Surgical Clinic/Center
  • Baltimore, MD
National Provider Identifier
1346905437
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
WASHINGTON VASCULAR SPECIALISTS OF BALTIMORE
Doing business as
WVS Baltimore
Practice address
351 W Camden St Ste 201
Baltimore, MD 21201-7912
Phone
(410) 541-7800
Fax
(410) 541-7900
NPI assigned
Nov 3, 2021
Last updated
Nov 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Authorized official

Name
Mubashar Choudry, MDNPI 1770585150
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)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

351 W Camden St Ste 201
Baltimore, MD 21201-7912

Mailing address

15245 Shady Grove Rd Ste 325N
Rockville, MD 20850-3222
Phone (301) 891-2500

Other names 1

  • WVS BALTIMORE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220104001835 MD Part B Supplier - Ambulatory Surgical Center 9436540333 Receives reassigned benefits from 11 practitioners
Practice locations: Baltimore, MD

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1346905437. Details of each certification follow.

Ambulatory surgical center certification: CCN 21C0001654

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
Washington Vascular Specialist of Baltimore
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Sep 8, 2022
Last certification
Aug 22, 2022
Facility address
351 W Camden St. Suite 201
Baltimore, MD 21201

National Provider Directory

National Provider Directory

Locations

15245 Shady Grove Rd
Ste 325N
Rockville, MD 20850

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1346905437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15245 SHADY GROVE RD STE 325N",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503222",
            "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": "351 W CAMDEN ST STE 201",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212017912",
            "telephone_number": "410-541-7800",
            "fax_number": "410-541-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON VASCULAR SPECIALISTS OF BALTIMORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "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": [
        {
            "organization_name": "WVS BALTIMORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.