Active NPI
Bethesda Medical Associates
- Internal Medicine Physician
- Bethesda, MD
National Provider Identifier
1447560016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- BETHESDA MEDICAL ASSOCIATES
- Practice address
- 10215 Fernwood Rd Ste 50
Bethesda, MD 20817-1174 - Phone
- (301) 493-9320
- Fax
- (301) 439-5532
- NPI assigned
- Oct 18, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Amber Blackwell, RN, BSN, CMPE
- Title
- Practice Administrator
- Phone
- (301) 493-9320
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
10215 Fernwood Rd Ste 50
Bethesda, MD 20817-1174
Mailing address
10215 Fernwood Road Suite 100a
Bethesda, MD 20817
Phone (301) 493-9607
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2017746 | Bethesda Medical Associates PC | Certificate of waiver | Dec 16, 2026 |
National Provider Directory
National Provider DirectoryLocations
10215 Fernwood Rd
Ste 50
Bethesda, MD 20817
Phone (301) 493-9607
10215 Fernwood Rd
Ste 100A
Bethesda, MD 20817
Interoperability endpoints
- https://api.platform.athenahealth.com/13741/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604620800000",
"number": "1447560016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10215 FERNWOOD ROAD SUITE 100A",
"city": "BETHESDA",
"state": "MD",
"postal_code": "20817",
"telephone_number": "301-493-9607",
"fax_number": "301-439-5532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10215 FERNWOOD RD STE 50",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208171174",
"telephone_number": "301-493-9320",
"fax_number": "301-439-5532"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BETHESDA MEDICAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-18",
"last_updated": "2020-11-06",
"certification_date": "2020-11-06",
"status": "A",
"authorized_official_last_name": "BLACKWELL",
"authorized_official_first_name": "AMBER",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "301-493-9320",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN, BSN, CMPE"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
- Bethesda Home Health Care Services
- Bethesda Hospitalist Partners, LLC
- Bethesda Idsi Phcy
- Bethesda Internal Medicine and Geriatrics, P.C.
- Bethesda Internal Medicine Partners, LLC
- Bethesda Metro Physical Therapy PC
- Bethesda Operator LLC
- Bethesda Optometry LLC
- Bethesda Orthodontic Specialist
- Bethesda Pediatric Dentistry LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.