Individual provider Active NPI

Khondker M Shamsuzzoha, M.D.

  • Anesthesiology Physician
  • Frederick, MD
National Provider Identifier
1386795573
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D 0057162 Issued in MD
Practice address
196 Thomas Johnson Dr
Suite # 215
Frederick, MD 21702-4397
Phone
(301) 668-9988
Fax
(301) 668-9977
NPI assigned
Jan 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X D 0057162 MD Primary

Addresses

Primary practice location

196 Thomas Johnson Dr
Suite # 215
Frederick, MD 21702-4397

Mailing address

6567 Forsythia St
Springfield, VA 22150-1167
Phone (703) 822-0845

Other identifiers 2

IdentifierTypeStateIssuer
050085552OtherMEDICARE RAILROAD
754401400MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MD, DC3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20090831000634 VA Practitioner - Anesthesiology 3971658790 Reassigns benefits to 2 organizations
I20091007000437 MD Practitioner - Anesthesiology 3971658790 Reassigns benefits to 5 organizations
I20151202002266 DC Practitioner - Anesthesiology 3971658790 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D 0057162MDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Global Anesthesia Services LLC Anesthesiology CurrentSince Oct 1, 2015 Accepting new patients
First Colonies Anesthesia Associates, LLC Anesthesiology CurrentSince Jul 1, 2023 Accepting new patients
American Anesthesiology of Virginia PC Anesthesiology CurrentSince Apr 1, 2021 Accepting new patients
Orthomed Staffing LLC Anesthesiology CurrentSince Jul 22, 2023 Accepting new patients
Northstar Anesthesia of Virginia, LLC Anesthesiology CurrentSince Jun 7, 2023 Accepting new patients
American Anesthesiology of Virginia, PC Anesthesiology CurrentSince Apr 1, 2021 Accepting new patients
Francu One LLC CurrentSince Nov 13, 2015 Accepting new patients
Capital Pain Management & Anesthesia Associates, LLC Anesthesiology Past Accepting new patients
Privium Consultants LLC PastSince Oct 21, 2025 Accepting new patients
Newbridge Surgery Center at Prince Frederick, LLC Past Accepting new patients
Northern Virginia Anesthesia Assoc. Anesthesiology Past Accepting new patients

Locations

626C Admiral Dr
#324
Annapolis, MD 21401

9001 Woodyard Rd
Ste B
Clinton, MD 20735
Phone (301) 868-4950

6816 Deerpath Rd
Elkridge, MD 21075
Phone (410) 757-5019

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

4991 New Design Rd
Ste 103
Frederick, MD 21703
Phone (301) 363-5858

308 Hospital Dr
Ste 102
Glen Burnie, MD 21061
Phone (410) 760-8100

6710 Oxon Hill Rd
Ste 150
Oxon Hill, MD 20745
Phone (240) 461-6999

1838 Greene Tree Rd
Ste 370
Pikesville, MD 21208
Phone (202) 221-8442

11210 Old Georgetown Rd
Rockville, MD 20852
Phone (301) 881-7770

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

8322 Bellona Ave
Ste 201
Towson, MD 21204
Phone (410) 337-2688

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

541 Sunset Ln
Ste 201
Culpeper, VA 22701
Phone (540) 829-0700

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

Organizations & group practices 12

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348704000000",
    "number": "1386795573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6567 FORSYTHIA ST",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221501167",
            "telephone_number": "703-822-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 THOMAS JOHNSON DR",
            "address_2": "SUITE # 215",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024397",
            "telephone_number": "301-668-9988",
            "fax_number": "301-668-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAMSUZZOHA",
        "first_name": "KHONDKER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2012-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D 0057162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "050085552",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "754401400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.