NPIMap

Organization Active NPI

Center for Women's Health and Minimally Invasive Surgery, Inc.

Doing business as Center for Advanced Gynecology

  • Gynecology Physician
  • Chevy Chase, MD
National Provider Identifier
1447639786
Registry record updated May 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
D71550 Issued in MD
Legal business name
CENTER FOR WOMEN'S HEALTH AND MINIMALLY INVASIVE SURGERY, INC.
Doing business as
Center for Advanced Gynecology
Practice address
5530 Wisconsin Ave Ste 914
Chevy Chase, MD 20815-4330
Phone
(240) 688-6097
NPI assigned
May 19, 2015
Last updated
May 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2015

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

Authorized official

Name
Dr. Shobha Sikka, M.D.NPI 1255360624
Title
Officer
Phone
(240) 688-6097

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X D71550 MD Primary

Addresses

Primary practice location

5530 Wisconsin Ave Ste 914
Chevy Chase, MD 20815-4330

Mailing address

8714 Hickory Bend TRL
Potomac, MD 20854-2557
Phone (240) 688-6097

Other names 1

  • CENTER FOR ADVANCED GYNECOLOGY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151029000233 DC Part B Supplier - Clinic/Group Practice 9032428271 Receives reassigned benefits from 7 practitioners
Practice locations: Chevy Chase, MD

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9714/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1447639786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8714 HICKORY BEND TRL",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542557",
            "telephone_number": "240-688-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE STE 914",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154330",
            "telephone_number": "240-688-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR WOMEN'S HEALTH AND MINIMALLY INVASIVE SURGERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "SIKKA",
        "authorized_official_first_name": "SHOBHA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "240-688-6097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MD",
            "license": "D71550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTER FOR ADVANCED GYNECOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chevy Chase, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.