Active NPI
Leah Berhane, MD
- Obstetrics & Gynecology Physician
- Silver Spring, MD
National Provider Identifier
1437213584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- D0052801
- Practice address
- 2101 Medical Park Dr
Suite 300 E
Silver Spring, MD 20902-4053 - Phone
- (301) 768-2992
- Fax
- (801) 289-9018
- NPI assigned
- Dec 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD31623 | DC | |
| Obstetrics & Gynecology Physician | 207V00000X | D0052801 | MD | Primary |
Addresses
Primary practice location
2101 Medical Park Dr
Suite 300 E
Silver Spring, MD 20902-4053
Mailing address
7200 Cliff Pine Dr
Gaithersburg, MD 20879-5704
Phone (301) 768-2992
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65401900 | Medicaid | MD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD31623 | DC | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328486400000",
"number": "1437213584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7200 CLIFF PINE DR",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208795704",
"telephone_number": "301-768-2992",
"fax_number": "301-830-8310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 MEDICAL PARK DR",
"address_2": "SUITE 300 E",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209024053",
"telephone_number": "301-768-2992",
"fax_number": "801-289-9018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERHANE",
"first_name": "LEAH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-21",
"last_updated": "2012-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "DC",
"license": "MD31623",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MD",
"license": "D0052801",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65401900",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.