Active NPI
Washington Institute of Surgery LLC
- Surgery Physician
- Potomac, MD
National Provider Identifier
1396089868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- D54052
- 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
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.,
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AL990001 | Other | CAREFIRST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physician Assistant
- Chevy Chase, MD
- NPI 1326179656
-
- Physician Assistant
- Chevy Chase, MD
- NPI 1760513097
-
- Surgery Physician
- Chevy Chase, MD
- NPI 1164665113
-
- Surgical Oncology Physician
- Chevy Chase, MD
- NPI 1457349615
-
- Physician Assistant
- Chevy Chase, MD
- NPI 1245988146
-
- Surgery Physician
- Chevy Chase, MD
- NPI 1184755407
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.