Individual provider Active NPI

Ahmed Kaldun Nossuli, M.D.

  • Nephrology Physician
  • Bethesda, MD
National Provider Identifier
1437198181
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
D002391 Issued in MD
Practice address
4915 Auburn Ave
Suite 104
Bethesda, MD 20814-2636
Phone
(301) 907-4646
Fax
(301) 907-7796
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X D002391 MD Primary

Addresses

Primary practice location

4915 Auburn Ave
Suite 104
Bethesda, MD 20814-2636

Mailing address

4915 Auburn Ave
Suite 200
Bethesda, MD 20814-2636
Phone (301) 907-3939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D002391MDMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Nephrology Associates, L.L.P. Nephrology CurrentSince Dec 2, 1997 Accepting new patients
Mwrdc of Annapolis Nephrology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

4915 Auburn Ave
Ste 200
Bethesda, MD 20814
Phone (301) 907-3939

4915 Auburn Ave
Ste 104
Bethesda, MD 20814
Phone (301) 652-2552

4141A Duke St
Alexandria, VA 22304
Phone (703) 461-3556

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272499200000",
    "number": "1437198181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 AUBURN AVE",
            "address_2": "SUITE 200",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142636",
            "telephone_number": "301-907-3939",
            "fax_number": "301-656-3943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 AUBURN AVE",
            "address_2": "SUITE 104",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142636",
            "telephone_number": "301-907-4646",
            "fax_number": "301-907-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOSSULI",
        "first_name": "AHMED",
        "middle_name": "KALDUN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2010-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D002391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.