Individual provider Active NPI

Aida Raafat Mansour Varghese

  • Family Nurse Practitioner
  • Solomons, MD
National Provider Identifier
1396549416
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R245329 Issued in MD
Practice address
14090 HG Trueman Rd Ste 2100
Solomons, MD 20688-3151
Phone
(410) 394-3712
Fax
(410) 394-3714
NPI assigned
Apr 1, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R245329 MD Primary

Addresses

Primary practice location

14090 HG Trueman Rd Ste 2100
Solomons, MD 20688-3151

Mailing address

14090 HG Trueman Rd Ste 2100
Solomons, MD 20688-3151
Phone (410) 394-3712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251125002593 MD Practitioner - Nurse Practitioner 2567954787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calverthealth Medical Group, LLCGroup PAC ID 2163562695, 50 clinicians

Practice addresses (Care Compare)

14090 HG Trueman Rd
Suite 2100
Solomons, MD 20688-3151
Phone (410) 394-3712

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R245329MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Calverthealth Medical Group, LLC CurrentSince Nov 1, 2025 Accepting new patients
Calverthealth Medical Group, LLC Family CurrentSince Nov 1, 2025 Accepting new patients
Calverthealth Medical Group, LLC Current Accepting new patients

Locations

8924 Chesapeake Ave
North Beach, MD 20714
Phone (410) 257-7279

110 Hospital Rd
Ste 111
Prnc Frederck, MD 20678
Phone (410) 535-4488

110 Hospital Rd
Ste 203
Prnc Frederck, MD 20678
Phone (410) 414-4740

14090 Hg Trueman Rd
Ste 2100
Solomons, MD 20688
Phone (410) 394-2700

Organizations & group practices 3

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": "1743465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1396549416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14090 HG TRUEMAN RD STE 2100",
            "city": "SOLOMONS",
            "state": "MD",
            "postal_code": "206883151",
            "telephone_number": "410-394-3712",
            "fax_number": "410-394-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14090 HG TRUEMAN RD STE 2100",
            "city": "SOLOMONS",
            "state": "MD",
            "postal_code": "206883151",
            "telephone_number": "410-394-3712",
            "fax_number": "410-394-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGHESE",
        "first_name": "AIDA",
        "middle_name": "RAAFAT MANSOUR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-01",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R245329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solomons, MD

Sources for this page

Verify at the official NPI Registry.