Capital Neuro Care PA

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

CAPITAL NEURO CARE PA

Practice address

16003 Comprint Cir Ste 209
Gaithersburg, MD 20877-1318

Phone

(301) 869-2358

Fax

(301) 869-2360

NPI assigned

Dec 21, 2007

Organization subpart

No

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

Authorized official

Name

Ratnavali Kolla, M.D.NPI 1174617625

Title

President / Sole Proprietor

Phone

(301) 869-2358

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DJFCCA

Practitioners 1

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

• Ratnavali Kolla, M.D.

  • Specialist
  • Gaithersburg, MD
  • NPI 1174617625

  DC, Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1366626657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10301 GEORGIA AVE",
            "address_2": "SUITE 209",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025020",
            "telephone_number": "301-593-9800",
            "fax_number": "301-593-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16003 COMPRINT CIR STE 209",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771318",
            "telephone_number": "301-869-2358",
            "fax_number": "301-869-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL NEURO CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "KOLLA",
        "authorized_official_first_name": "RATNAVALI",
        "authorized_official_title_or_position": "PRESIDENT / SOLE PROPRIETOR",
        "authorized_official_telephone_number": "301-869-2358",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039326600",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "413840600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raqia Archee Campbell
• Kate Campion
• Mary Jo Cannon, MD
• Nyah Yasmeen Canty
• Ariel Capili, MD
• Capital Primary Care Inc
• Capital Region Surgical Assistants LLC
• Capital Rehabilitation Services, LLC
• Debra Caplan, LCPC
• Capria Group LLC

• Neurological Surgery Physician in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Neurological Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.