Organization Active NPI

Affiliated Specialists, LLC

  • Gastroenterology Physician
  • Lanham, MD
National Provider Identifier
1376091355
Registry record updated Dec 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
AFFILIATED SPECIALISTS, LLC
Practice address
9821 Greenbelt Rd
Suite 104
Lanham, MD 20706-2265
Phone
(301) 823-8086
NPI assigned
Sep 19, 2016
Last updated
Dec 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2016

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

Authorized official

Name
David Louis Siegel, M.D.NPI 1104820182
Title
Ceo
Phone
(301) 823-8086

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
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X Primary

Addresses

Primary practice location

9821 Greenbelt Rd
Suite 104
Lanham, MD 20706-2265

Mailing address

9821 Greenbelt Rd
Suite 104
Lanham, MD 20706-2265
Phone (301) 823-8086

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170110002522 DC Part B Supplier - Clinic/Group Practice 9931480712 Receives reassigned benefits from 9 practitioners
Practice locations: Lanham, MD

National Provider Directory

National Provider Directory

Locations

9811 Greenbelt Rd
Ste 105
Lanham, MD 20706

9811 Greenbelt Rd
Ste 103
Lanham, MD 20706

9811 Greenbelt Rd
Ste 205
Lanham, MD 20706
Phone (301) 329-8556

6307 Executive Blvd
Rockville, MD 20852
Phone (301) 823-8086

Practitioners & affiliated clinicians

Practitioners 9

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": "1474243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483056000000",
    "number": "1376091355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9821 GREENBELT RD",
            "address_2": "SUITE 104",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062265",
            "telephone_number": "301-823-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9821 GREENBELT RD",
            "address_2": "SUITE 104",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062265",
            "telephone_number": "301-823-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-19",
        "last_updated": "2016-12-30",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-823-8086",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.