NPIMap

Individual provider Active NPI

Deepa Balasubramaniam, M.D

  • Adult Medicine Physician
  • Silver Spring, MD
National Provider Identifier
1396928172
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
D72822 Issued in MD
Practice address
10313 Georgia Ave Ste 207
Silver Spring, MD 20902-5006
Phone
(301) 681-7010
Fax
(301) 593-8366
NPI assigned
Dec 14, 2007
Last updated
Sep 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X D72822 MD Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X D72822 MD

Addresses

Primary practice location

10313 Georgia Ave Ste 207
Silver Spring, MD 20902-5006

Mailing address

10313 Georgia Ave Ste 207
Silver Spring, MD 20902-5006
Phone (301) 681-7010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090805000341 DC Practitioner - Geriatric MedicinePractitioner - Family Practice 1658424890 Reassigns benefits to 2 organizations
I20240930004146 MD Practitioner - Family Practice 1658424890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Care Center LLCGroup PAC ID 3274801139, 286 clinicians

Practice addresses (Care Compare)

4910 Massachusetts Ave NW
Suite 114 Grady DC Office
Washington, DC 20016-4384
Phone (202) 686-0813

6410 Rockledge Dr
Bethesda, MD 20817-1844

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D72822MDMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Care Center LLC CurrentSince Aug 17, 2024 Accepting new patients
Kannan and Associates PC CurrentSince Sep 21, 2011 Accepting new patients
Privia Care Center LLC CurrentSince Aug 17, 2024 Accepting new patients
Blue Sky Mental Health Clinic LLC PastSince Apr 1, 2021 Accepting new patients
Nova Physician Wellness Center PLLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812

301 Saint Paul St
Ste 409
Baltimore, MD 21202
Phone (410) 659-7041

10301 Georgia Ave
Ste 203
Silver Spring, MD 20902
Phone (240) 865-3135

10313 Georgia Ave
Ste 207
Silver Spring, MD 20902
Phone (301) 681-7010

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • Direct secure messaging: deepa.balasubramaniam.1@8042.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1396928172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10313 GEORGIA AVE STE 207",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025006",
            "telephone_number": "301-681-7010",
            "fax_number": "301-593-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10313 GEORGIA AVE STE 207",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209025006",
            "telephone_number": "301-681-7010",
            "fax_number": "301-593-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALASUBRAMANIAM",
        "first_name": "DEEPA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-14",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "MD",
            "license": "D72822",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MD",
            "license": "D72822",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.