Organization Active NPI

Vicken Poochikian MD P a

  • Internal Medicine Physician
  • Bladensburg, MD
National Provider Identifier
1427219997
Registry record updated Apr 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VICKEN POOCHIKIAN MD P A
Practice address
5632 Annapolis Rd
Suite 3
Bladensburg, MD 20710-2213
Phone
(301) 779-7607
Fax
(301) 927-0335
NPI assigned
Jun 18, 2008
Last updated
Apr 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2011

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

Authorized official

Name
Dr. Vicken Poochikian, M.D.NPI 1174568463
Title
Sole Owner M.D.
Phone
(301) 779-7607

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
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

5632 Annapolis Rd
Suite 3
Bladensburg, MD 20710-2213

Mailing address

5632 Annapolis Rd
Suite 3
Bladensburg, MD 20710-2213
Phone (301) 779-7607

Other identifiers 1

IdentifierTypeStateIssuer
1174568463OtherMDINDIVIDUAL NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110607000092 DC Part B Supplier - Clinic/Group Practice 3779760483 Receives reassigned benefits from 1 practitioner
Practice locations: Bladensburg, MD

National Provider Directory

National Provider Directory

Locations

5632 Annapolis Rd
Ste 3
Bladensburg, MD 20710
Phone (301) 779-7607

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1427219997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5632 ANNAPOLIS RD",
            "address_2": "SUITE 3",
            "city": "BLADENSBURG",
            "state": "MD",
            "postal_code": "207102213",
            "telephone_number": "301-779-7607",
            "fax_number": "301-927-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5632 ANNAPOLIS RD",
            "address_2": "SUITE 3",
            "city": "BLADENSBURG",
            "state": "MD",
            "postal_code": "207102213",
            "telephone_number": "301-779-7607",
            "fax_number": "301-927-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKEN POOCHIKIAN MD P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-18",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "POOCHIKIAN",
        "authorized_official_first_name": "VICKEN",
        "authorized_official_title_or_position": "SOLE OWNER M.D.",
        "authorized_official_telephone_number": "301-779-7607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1174568463",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bladensburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; 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.