Center for Vascular Medicine LLC
Organization Active NPI Specialist · Greenbelt, MD
NPI 1386935781 · NPPES record last updated Dec 21, 2017
Key facts
- NPI
- 1386935781
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- Legal business name
- CENTER FOR VASCULAR MEDICINE LLC
- Practice address
- 7300 Hanover Pkwy
Suite 104
Greenbelt, MD 20770-2013 - Phone
- (301) 441-8807
- NPI assigned
- Apr 20, 2011
- Organization subpart
- No
Authorized official
- Name
- Jakia Lewis
- Title
- Revenue Cycle Manager
- Phone
- (301) 982-2000
Practitioners 39
-
David Gardner Draughn, MD FACS
-
Jung J Lim, D.O.
-
Abigail Yoonhee Wong, PA-C
-
Tonya L Hayes, PA-C
-
Richard Kennedy, PA-C
-
Gaurav Lakhanpal, MD
-
Sanjiv Lakhanpal, MD
-
Vinay Kumar Satwah, D.O.
-
Calla Zelazny, PA-C
-
Jessica Lake Buhr, CRNP
-
Dean K Lurie, M.D.
-
Sean Kendric Stewart, M.D.
-
Richard Lansing Dillon, M.D.
-
James Laredo, MD
-
Albert D Sam II, MD
-
Theresa M. Soto, MD
-
Krystal Alcott, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in MD, DC, VA, NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110914000099 | MD | Part B Supplier - Clinic/Group Practice | 1658319967 |
Receives reassigned benefits from 21 practitioners Practice locations: Annapolis, MD |
| O20110914000302 | DC | Part B Supplier - Clinic/Group Practice | 1658319967 |
Receives reassigned benefits from 26 practitioners Practice locations: Greenbelt, MD; Fairfax, VA |
| O20190619002754 | VA | Part B Supplier - Clinic/Group Practice | 1658319967 |
Receives reassigned benefits from 16 practitioners Practice locations: Fredericksburg, VA; MC Lean, VA; Woodbridge, VA |
| O20240918000457 | NC | Part B Supplier - Clinic/Group Practice | 1658319967 |
Receives reassigned benefits from 3 practitioners Practice locations: Charlotte, NC |
National Provider Directory
Locations
10101 Siegen Ln
Bldg 3B
Baton Rouge, LA 70810
Phone (225) 288-1230
1001 Pine Heights Ave
Ste 202
Baltimore, MD 21229
Phone (410) 500-8488
108 Forbes St 2nd
Baltimore, MD 21279
2225 Old Emmorton Rd
Ste 110
Bel Air, MD 21015
Phone (410) 515-4900
503 Cynwood Dr
Ste 4
Easton, MD 21601
Phone (443) 786-1113
1600 Crain Hwy S
Ste 410
Glen Burnie, MD 21061
Phone (410) 766-2500
7500 Greenway Center Dr
Ste 201
Greenbelt, MD 20770
7474 Greenway Center Dr
Ste 65
Greenbelt, MD 20770
301 Steeple Chase Dr
Ste 401
Prince Frederick, MD 20678
Phone (301) 494-8641
831 University Blvd E
Ste 2425
Silver Spring, MD 20903
831 University Blvd E
Ste 25
Silver Spring, MD 20903
Phone (301) 439-1200
7300 York Rd
Ste Ll
Towson, MD 21204
Phone (410) 296-4876
12107 Old Line Ctr
Waldorf, MD 20602
Phone (240) 207-6450
580 S Aiken Ave
Ste 200
Pittsburgh, PA 15232
Phone (412) 621-8668
2921 Telestar Ct
#515
Falls Church, VA 22042
301 Park Hill Dr
Fredericksburg, VA 22401
501 Park Hill Dr
Fredericksburg, VA 22401
Phone (540) 372-6737
150 Elden St
Herndon, VA 20170
Phone (703) 481-1808
1500 Breezeport Way
Suffolk, VA 23435
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | Yes |
Addresses
Primary practice location
7300 Hanover Pkwy
Suite 104
Greenbelt, MD 20770-2013
Mailing address
7474 Greenway Center Dr Ste 650
Greenbelt, MD 20770-3560
Phone (301) 982-2000
Other providers in Greenbelt, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.