Active NPI
Vicken Poochikian MD P a
- Internal Medicine Physician
- Bladensburg, MD
National Provider Identifier
1427219997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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, 2011
- 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. Vicken Poochikian, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174568463 | Other | MD | INDIVIDUAL NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.