Individual provider Active NPI

Maximilian Oshalim, M.D.

  • Internal Medicine Physician
  • Washington, DC
National Provider Identifier
1407932015
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101240955 Issued in VA
Practice address
1499 Massachusetts Ave NW
Apt 303
Washington, DC 20005-2869
Phone
(347) 351-7901
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD036241 DC
Internal Medicine Physician 207R00000X 0101240955 VA Primary

Addresses

Primary practice location

1499 Massachusetts Ave NW
Apt 303
Washington, DC 20005-2869

Mailing address

1499 Massachusetts Ave NW
Apt 303
Washington, DC 20005-2869
Phone (347) 351-7901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100810000939 DC Practitioner - Internal Medicine 6608900857 Reassigns benefits to 1 organization
I20150401001107 VA Practitioner - Internal Medicine 6608900857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York Downstate Medical Center, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

2311 M St NW
Washington, DC 20037-1495
Phone (202) 331-3338

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD036241DCMDInternal Medicine Physician
0101240955VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Nov 30, 2013 Accepting new patients
Privia Medical Group, LLC Internal Medicine CurrentSince Nov 30, 2013 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

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

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

8644 Sudley Rd
#220
Manassas, VA 20110

Interoperability endpoints

  • Direct secure messaging: maximilian.oshalim.1@8042.direct.athenahealth.com

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283299200000",
    "number": "1407932015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 MASSACHUSETTS AVE NW",
            "address_2": "APT 303",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200052869",
            "telephone_number": "347-351-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 MASSACHUSETTS AVE NW",
            "address_2": "APT 303",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200052869",
            "telephone_number": "347-351-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSHALIM",
        "first_name": "MAXIMILIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2010-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DC",
            "license": "MD036241",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101240955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.