Organization Active NPI

Center for Vascular Medicine LLC

  • Specialist
  • Greenbelt, MD
National Provider Identifier
1386935781
Registry record updated Dec 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 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
Last updated
Dec 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2017

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

Authorized official

Name
Jakia Lewis
Title
Revenue Cycle Manager
Phone
(301) 982-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA, NC4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory

Locations

108 Forbes St
Fl 2
Annapolis, MD 21401
Phone (301) 982-2000

108 Forbes St 2nd
Baltimore, MD 21279

503 Cynwood Dr
Ste 4
Easton, MD 21601
Phone (443) 786-1113

7300 Hanover Dr
Ste 104
Greenbelt, MD 20770
Phone (301) 982-2000

7300 Hanover Pkwy
Ste 104
Greenbelt, MD 20770
Phone (301) 441-8807

7474 Greenway Center Dr
Ste 65
Greenbelt, MD 20770

7500 Greenway Center Dr
Ste 201
Greenbelt, MD 20770

205 Steeple Chase Dr
Ste 106
Prince Frederick, MD 20678
Phone (410) 999-4718

301 Steeple Chase Dr
Ste 401
Prince Frederick, MD 20678
Phone (301) 494-8641

831 University Blvd E
Ste 2425
Silver Spring, MD 20903

7300 York Rd
Ste Ll
Towson, MD 21204
Phone (410) 296-4876

12107 Old Line Ctr
Waldorf, MD 20602
Phone (240) 207-6450

860 Summit Crossing Pl
Ste 120
Gastonia, NC 28054
Phone (704) 830-6374

580 S Aiken Ave
Ste 200
Pittsburgh, PA 15232
Phone (412) 621-8668

8316 Arlington Blvd
Fairfax, VA 22031
Phone (703) 204-3424

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

Practitioners & affiliated clinicians

Practitioners 42

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 42

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513814400000",
    "number": "1386935781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7474 GREENWAY CENTER DR STE 650",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703560",
            "telephone_number": "301-982-2000",
            "fax_number": "301-982-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 HANOVER PKWY",
            "address_2": "SUITE 104",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702013",
            "telephone_number": "301-441-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR VASCULAR MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2017-12-21",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JAKIA",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "301-982-2000"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.