NPIMap

Organization Active NPI

Ravi Passi MD PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Rockville, MD
National Provider Identifier
1447229281
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
RAVI PASSI MD PC
Practice address
15245 Shady Grove Rd
Suite 130
Rockville, MD 20850-3222
Phone
(301) 527-1650
Fax
(301) 527-8752
NPI assigned
Mar 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Authorized official

Name
Ravi Passi, MDNPI 1114921665
Title
President
Phone
(301) 527-1650

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

15245 Shady Grove Rd
Suite 130
Rockville, MD 20850-3222

Mailing address

PO Box 10067
Gaithersburg, MD 20898-0067
Phone (301) 527-1650

Other identifiers 1

IdentifierTypeStateIssuer
409902800MedicaidMD

Other names 1

  • Advanced Primary & Geriatric Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040527000910 DC Part B Supplier - Clinic/Group Practice 4284615931 Receives reassigned benefits from 30 practitioners
Practice locations: Rockville, MD
O20160419002328 MD Part B Supplier - Clinic/Group Practice 4284615931 Receives reassigned benefits from 27 practitioners
Practice locations: Cantonsville, MD; Garrison, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 42

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665100800000",
    "number": "1447229281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10067",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208980067",
            "telephone_number": "301-527-1650",
            "fax_number": "301-527-8752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15245 SHADY GROVE RD",
            "address_2": "SUITE 130",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503222",
            "telephone_number": "301-527-1650",
            "fax_number": "301-527-8752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVI PASSI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2022-10-07",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "PASSI",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-527-1650",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409902800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Primary & Geriatric Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Primary & Geriatric Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.