Individual provider Active NPI

Rudy Huzam Juburi, M.D.

  • General Practice Physician
  • Bryans Road, MD
National Provider Identifier
1477598761
Registry record updated Jun 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
D0052362 Issued in MD
Practice address
8030 Matthews Rd
Ste 105
Bryans Road, MD 20616
Phone
(301) 375-8080
Fax
(301) 375-6227
NPI assigned
Jun 19, 2006
Last updated
Jun 15, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X D0052362 MD Primary
General Practice Physician 208D00000X 0101057764 VA

Addresses

Primary practice location

8030 Matthews Rd
Ste 105
Bryans Road, MD 20616

Mailing address

P.O. Box 1205
8030 Matthews Road Ste 105
Bryans Road, MD 20616-3240
Phone (301) 375-8080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080512000148 DC Practitioner - Internal Medicine 4880664671 Reassigns benefits to 1 organization
I20111221000153 MD Practitioner - Internal Medicine 4880664671 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2817 Duke St
Alexandria, VA 22314-4512
Phone (703) 997-9699

4225 Altamont PL
Suite 203
White Plains, MD 20695-3065
Phone (301) 375-8080

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
79.78
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Elliot R Goldstein MD & Joel R Schulman MD PA CurrentSince Nov 20, 2017 Accepting new patients
Family Medcare, LLC CurrentSince Aug 1, 2001 Accepting new patients
Elliot R Goldstein MD & Joel R Schulman MD PA CurrentSince Nov 20, 2017 Accepting new patients
Juburi Medical Center LLC CurrentSince Feb 1, 2019 Accepting new patients
Advanced Alexandria Chiropractic Office, LTD. PastSince Feb 1, 2019 Accepting new patients

Locations

8030 Matthews Rd
Ste 105
Bryans Road, MD 20616
Phone (301) 283-2800

6000 Executive Blvd
Ste 300
Rockville, MD 20852
Phone (301) 468-8999

1400 Forest Glen Rd
Ste 400
Silver Spring, MD 20910
Phone (301) 251-0509

4225 Altamont Pl
Ste 203
White Plains, MD 20695
Phone (301) 375-8080

2817 Duke St
Alexandria, VA 22314
Phone (202) 574-5700

8301 Arlington Blvd
Ste 100
Fairfax, VA 22031
Phone (703) 356-0039

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529020800000",
    "number": "1477598761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1205",
            "address_2": "8030 MATTHEWS ROAD STE 105",
            "city": "BRYANS ROAD",
            "state": "MD",
            "postal_code": "206163240",
            "telephone_number": "301-375-8080",
            "fax_number": "301-375-6227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8030 MATTHEWS RD",
            "address_2": "STE 105",
            "city": "BRYANS ROAD",
            "state": "MD",
            "postal_code": "20616",
            "telephone_number": "301-375-8080",
            "fax_number": "301-375-6227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUBURI",
        "first_name": "RUDY",
        "middle_name": "HUZAM",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2018-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MD",
            "license": "D0052362",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101057764",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryans Road, MD

Sources for this page

Verify at the official NPI Registry.