Organization Active NPI

Washington Institute of Surgery LLC

  • Surgery Physician
  • Potomac, MD
National Provider Identifier
1396089868
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D54052 Issued in MD
Legal business name
WASHINGTON INSTITUTE OF SURGERY LLC
Practice address
13116 Brushwood Way
Potomac, MD 20854-1025
Phone
(571) 275-9279
Fax
(301) 519-3797
NPI assigned
Nov 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Authorized official

Name
Dr. Mohammed M.H. Kalan, M.D.,NPI 1629077151
Title
Owner
Phone
(571) 275-9279

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X D54052 MD Primary

Addresses

Primary practice location

13116 Brushwood Way
Potomac, MD 20854-1025

Mailing address

PO Box 60428
Potomac, MD 20859-0428
Phone (571) 275-9279

Other identifiers 1

IdentifierTypeStateIssuer
AL990001OtherCAREFIRST

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130227000224 DC Part B Supplier - Clinic/Group Practice 4587819438 Receives reassigned benefits from 1 practitioner
Practice locations: Silver Spring, MD

National Provider Directory

National Provider Directory

Locations

5530 Wisconsin Ave
Ste 1450
Chevy Chase, MD 20815
Phone (301) 656-6704

8630 Fenton St
Ste 122
Silver Spring, MD 20910
Phone (301) 588-0057

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1396089868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60428",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208590428",
            "telephone_number": "571-275-9279",
            "fax_number": "301-519-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13116 BRUSHWOOD WAY",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208541025",
            "telephone_number": "571-275-9279",
            "fax_number": "301-519-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON INSTITUTE OF SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-21",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "KALAN",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "M.H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-275-9279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.,"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "MD",
            "license": "D54052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "AL990001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.