Individual provider Active NPI

Shobha Solomon, MS, FNP

  • Family Nurse Practitioner
  • Gaithersburg, MD
National Provider Identifier
1447447974
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R120906 Issued in MD
Practice address
9318 Gaither Rd Ste 245
Gaithersburg, MD 20877-1423
Phone
(301) 367-1533
Fax
(301) 527-0703
NPI assigned
Sep 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R120906 MD Primary

Addresses

Primary practice location

9318 Gaither Rd Ste 245
Gaithersburg, MD 20877-1423

Mailing address

2040 Mayflower Dr
Silver Spring, MD 20905-5563
Phone (301) 367-1533

Other identifiers 1

IdentifierTypeStateIssuer
454006900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080109000599 MD Practitioner - Nurse Practitioner 6709966260 Reassigns benefits to 1 organization
I20080227000855 DC Practitioner - Nurse Practitioner 6709966260 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Care Now Clinic LLCGroup PAC ID 1153687496, 2 clinicians

Practice addresses (Care Compare)

1645 Ridgely St
Suite 100
Baltimore, MD 21230-2050
Phone (301) 251-4702

9318 Gaither Rd
Suite 205
Gaithersburg, MD 20877-1409
Phone (240) 393-5950

9318 Gaither Rd
Suite 245
Gaithersburg, MD 20877-1423
Phone (301) 367-1533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R120906MDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Care Now Clinic LLC CurrentSince Sep 1, 2017 Accepting new patients
Privia Medical Group, LLC CurrentSince Jun 23, 2024 Accepting new patients
Privia Care Center LLC CurrentSince Jun 23, 2024 Accepting new patients
Privia Medical Group, LLC CurrentSince Jun 23, 2024 Accepting new patients
Privia Care Center LLC CurrentSince Jun 23, 2024 Accepting new patients
Chinese Culture and Community Service Center, Inc. CurrentSince Dec 2, 2024 Accepting new patients
Chinese Culture and Community Service Center, Inc. CurrentSince Dec 2, 2024 Accepting new patients
Centers for Behavioral Health, LLC PastSince Nov 1, 2017 Accepting new patients
Chinese Culture and Community Services Center, Inc. Past Accepting new patients

Locations

4910 Massachusetts Ave NW
Ste 114
Washington, DC 20016
Phone (202) 244-0812

1645 Ridgely St
Ste 100
Baltimore, MD 21230
Phone (301) 251-4702

9298 Gaither Rd
Gaithersburg, MD 20877
Phone (240) 393-5950

9298 Gaither Rd
Ste 205
Gaithersburg, MD 20877

9318 Gaither Rd
Ste 205
Gaithersburg, MD 20877
Phone (240) 393-5950

9318 Gaither Rd
Ste 245
Gaithersburg, MD 20877
Phone (301) 367-1533

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1447447974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 MAYFLOWER DR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209055563",
            "telephone_number": "301-367-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9318 GAITHER RD STE 245",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771423",
            "telephone_number": "301-367-1533",
            "fax_number": "301-527-0703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "SHOBHA",
        "credential": "MS, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-28",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R120906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "454006900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.