Individual provider Active NPI

Ramleth Shakir, MD

  • Internal Medicine Physician
  • Gaithersburg, MD
National Provider Identifier
1386868552
Registry record updated Dec 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D27830 Issued in MD
Practice address
9019 Shady Grove Court
Gaithersburg, MD 20877-1301
Phone
(301) 258-7636
Fax
(301) 990-9658
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D27830 MD Primary

Addresses

Primary practice location

9019 Shady Grove Court
Gaithersburg, MD 20877-1301

Mailing address

9019 Shady Grove Court
Gaithersburg, MD 20877-1301
Phone (301) 258-7636

Other identifiers 17

IdentifierTypeStateIssuer
026525OtherJOHN HOPKINS PRIORITY PAR
2120572OtherCIGNA
27830OtherINFORMED LLC ADVENTIST HE
000678683001OtherUNITED HEALTHCARE MIDATLA
39820001OtherDCBCBS BLUE CHOICE HMO
0400735OtherUNITED HEALTHCARE MEDICAI
04742OtherAMERICAID AMERIGROUP
0083388OtherAETNA HMO
34252OtherCOVENTRY
3982OtherDCBLUE CROSS BLUE SHIELD FE
7722OtherMDBLUE CROSS BLUE SHIELD
99824OtherPHYSICIANS HEALTH NET PHN
4492889OtherAETNA MANAGED CHOICE
1020540OtherCIGNA HMO
798741200MedicaidMD
824226OtherMAMSI OPTIMUM CHOICE MDIP
1361941OtherCIGNA HELATHCARE OF MID A

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110929000056 DC Practitioner - Internal Medicine 5092986737 Practice locations: Gaithersburg, MD

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Georgetown University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9019 Shady Grove CT
Gaithersburg, MD 20877-1301
Phone (301) 258-7636

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D27830MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 1

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293062400000",
    "number": "1386868552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9019 SHADY GROVE COURT",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771301",
            "telephone_number": "301-258-7636",
            "fax_number": "301-990-9658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9019 SHADY GROVE COURT",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771301",
            "telephone_number": "301-258-7636",
            "fax_number": "301-990-9658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKIR",
        "first_name": "RAMLETH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2010-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D27830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN HOPKINS PRIORITY PAR",
            "identifier": "026525",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2120572",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INFORMED LLC ADVENTIST HE",
            "identifier": "27830",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE MIDATLA",
            "identifier": "000678683001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS BLUE CHOICE HMO",
            "identifier": "39820001",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE MEDICAI",
            "identifier": "0400735",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAID AMERIGROUP",
            "identifier": "04742",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "0083388",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "34252",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FE",
            "identifier": "3982",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "7722",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS HEALTH NET PHN",
            "identifier": "99824",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA MANAGED CHOICE",
            "identifier": "4492889",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HMO",
            "identifier": "1020540",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "798741200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI OPTIMUM CHOICE MDIP",
            "identifier": "824226",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HELATHCARE OF MID A",
            "identifier": "1361941",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.