Organization Active NPI

Attan Kasid MD PC

  • Internal Medicine Physician
  • Gaithersburg, MD
National Provider Identifier
1467771683
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MDD55054 Issued in MD
Legal business name
ATTAN KASID MD PC
Practice address
604 S Frederick Ave
Suite 604
Gaithersburg, MD 20877-1275
Phone
(301) 990-8800
Fax
(301) 990-0032
NPI assigned
May 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Authorized official

Name
Dr. Attan Kasid, MDNPI 1740362599
Title
President
Phone
(301) 990-8800

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MDD55054 MD Primary

Addresses

Primary practice location

604 S Frederick Ave
Suite 604
Gaithersburg, MD 20877-1275

Mailing address

7212 Dubuque CT
Rockville, MD 20855-2703
Phone (301) 990-8800

Other identifiers 1

IdentifierTypeStateIssuer
236504900MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101005000671 DC Part B Supplier - Clinic/Group Practice 7012109309 Receives reassigned benefits from 1 practitioner
Practice locations: Rockville, MD; Gaithersburg, MD

National Provider Directory

National Provider Directory

Locations

604 S Frederick Ave
Ste 409
Gaithersburg, MD 20877
Phone (301) 990-8800

604 S Frederick Ave
Ste 604
Gaithersburg, MD 20877
Phone (301) 990-8800

Practitioners & affiliated clinicians

Practitioners 1

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": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1467771683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7212 DUBUQUE CT",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208552703",
            "telephone_number": "301-990-8800",
            "fax_number": "301-990-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S FREDERICK AVE",
            "address_2": "SUITE 604",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771275",
            "telephone_number": "301-990-8800",
            "fax_number": "301-990-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATTAN KASID MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "KASID",
        "authorized_official_first_name": "ATTAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-990-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "MDD55054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "236504900",
            "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 May 27, 2010; 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.