Active NPI
Nicholas J Tannous, M.D.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Germantown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- D0084655
- Practice address
- 19851 Observation Dr Ste 360
Germantown, MD 20876-4141 - Phone
- (443) 693-7246
- Fax
- (301) 337-6478
- NPI assigned
- Apr 4, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 2012005502 | MO | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 2012005502 | MO | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 15477 | NV | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 101263858 | VA | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | D0084655 | MD | Primary |
Addresses
Primary practice location
19851 Observation Dr Ste 360
Germantown, MD 20876-4141
Mailing address
2 Park Center CT Ste 200
Owings Mills, MD 21117-4221
Phone (443) 693-7246
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12355682 | Other | CAQH | |
| 000000767742 | Other | MO | BCBSMO |
| 1386817831 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
14605 Potomac Branch Dr
Suite 100
Woodbridge, VA 22191-3337
Phone (703) 738-4371
6355 Walker LN
Suite 507
Alexandria, VA 22310-3251
Phone (703) 971-4604
Hospital & facility affiliations
- Stonesprings Hospital Center
- Inova Loudoun Hospital
- Inova Fair Oaks Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.3 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15477 | NV | MD | Pharmacist |
| 2012005502 | MO | MD | Physical Medicine & Rehabilitation Physician |
| 101263858 | VA | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Medicine Associates, LTD | Current | Accepting new patients | |
| Physical Medicine Associates, LTD | Current | Accepting new patients | |
| NSPC Surgery Center of Maryland LLC | Past | Accepting new patients | |
| Abdul Naushad MD PC | Pain Medicine | Past | Accepting new patients |
| Advanced Spine and Pain PLLC | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| Physical Medicine Associates LTD | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Advanced Pain Management Specialists, LLC | Past | Accepting new patients |
Locations
9151 Rumsey Rd
Ste 150
Columbia, MD 21045
Phone (443) 583-7958
24560 Southpoint Dr
Ste 120
Aldie, VA 20105
Phone (703) 348-5060
6355 Walker Ln
Ste 507
Alexandria, VA 22310
Phone (703) 738-4332
3620 Joseph Siewick Dr
Ste 410
Fairfax, VA 22033
5213 Hickory Park Dr
Ste B
Glen Allen, VA 23059
Phone (804) 270-7262
14605 Potomac Branch Dr
Ste 100
Woodbridge, VA 22191
Phone (703) 738-4371
Interoperability endpoints
- ntannous@spineandpain.emadirect.md
Organizations & group practices 9
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.
-
- Interventional Pain Medicine Physician
- MC Lean, VA
- NPI 1003884560
DC, MD
-
- Interventional Pain Medicine Physician
- Fairfax, VA
- NPI 1316465461
-
- Clinical Medical Laboratory
- Owings Mills, MD
- NPI 1316315740
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Ambulatory Surgical Clinic/Center
- Oxon Hill, MD
- NPI 1346862869
-
- Clinical Laboratory Director (Non-physician)
- Columbia, MD
- NPI 1750840666
-
- Pain Medicine Physician
- Poplar Bluff, MO
- NPI 1306839196
-
- Orthopaedic Surgery of the Spine Physician
- Stafford, VA
- NPI 1255695490
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Leesburg, VA
- NPI 1285786228
-
- General Acute Care Hospital
- Leesburg, VA
- NPI 1376564302
-
- General Acute Care Hospital
- Fairfax, VA
- NPI 1760513980
-
- General Acute Care Hospital
- Dulles, VA
- NPI 1972904738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543190400000",
"number": "1386817831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 PARK CENTER CT STE 200",
"city": "OWINGS MILLS",
"state": "MD",
"postal_code": "211174221",
"telephone_number": "443-693-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19851 OBSERVATION DR STE 360",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208764141",
"telephone_number": "443-693-7246",
"fax_number": "301-337-6478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANNOUS",
"first_name": "NICHOLAS",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-04",
"last_updated": "2018-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "MO",
"license": "2012005502",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "MO",
"license": "2012005502",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "NV",
"license": "15477",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "VA",
"license": "101263858",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "MD",
"license": "D0084655",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "12355682",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMO",
"identifier": "000000767742",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1386817831",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.