Individual provider Active NPI

Nicholas J Tannous, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Germantown, MD
National Provider Identifier
1386817831
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
D0084655 Issued in MD
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

Updated by the provider on Nov 26, 2018

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
12355682OtherCAQH
000000767742OtherMOBCBSMO
1386817831MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD3 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
I20180321000868 DC Practitioner - Physical Medicine and Rehabilitation 2769646868 Reassigns benefits to 1 organization
I20180619000483 VA Practitioner - Physical Medicine and Rehabilitation 2769646868 Reassigns benefits to 1 organization
I20190117003300 MD Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 2769646868 Reassigns benefits to 1 organization

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
Physical Medicine Associates LTDGroup PAC ID 4981688835, 73 clinicians

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 Hospital, Dulles, VA, CCN 490145
  • Inova Loudoun Hospital Hospital, Leesburg, VA, CCN 490043
  • Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15477NVMDPharmacist
2012005502MOMDPhysical Medicine & Rehabilitation Physician
101263858VAMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Medicine Associates, LTD CurrentSince Feb 1, 2021 Accepting new patients
Physical Medicine Associates, LTD CurrentSince Feb 1, 2021 Accepting new patients
NSPC Surgery Center of Maryland LLC Past Accepting new patients
Abdul Naushad MD PC Pain Medicine PastSince Jan 30, 2017 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.