Active NPI
Shobha Solomon, MS, FNP
- Family Nurse Practitioner
- Gaithersburg, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R120906
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 454006900 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| R120906 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Now Clinic LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Privia Care Center LLC | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Privia Care Center LLC | Current | Accepting new patients | |
| Chinese Culture and Community Service Center, Inc. | Current | Accepting new patients | |
| Chinese Culture and Community Service Center, Inc. | Current | Accepting new patients | |
| Centers for Behavioral Health, LLC | Past | 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.
-
dba Pan Asian Volunteer Health Clinic
- Primary Care Clinic/Center
- Gaithersburg, MD
- NPI 1033509591
DC
-
- Occupational Therapist
- Gaithersburg, MD
- NPI 1891328563
-
- Internal Medicine Physician
- Baltimore, MD
- NPI 1730664012
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
- Case Management Agency
- Derwood, MD
- NPI 1316272065
-
dba CCACC Home Care
- In Home Supportive Care Agency
- Gaithersburg, MD
- NPI 1164807020
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.