Individual provider Active NPI

Fezan Asghar, MMS, PA-C

  • Physician Assistant
  • Rockville, MD
National Provider Identifier
1477973956
Registry record updated Nov 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0005379 Issued in MD
Practice address
9901 Medical Center Dr
Department of Surgery - Surgical Physician Assistants
Rockville, MD 20850-3357
Phone
(240) 826-7072
NPI assigned
Apr 23, 2014
Last updated
Nov 5, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0005379 MD Primary

Addresses

Primary practice location

9901 Medical Center Dr
Department of Surgery - Surgical Physician Assistants
Rockville, MD 20850-3357

Mailing address

9901 Medical Center Dr
Department of Surgery - Surgical Physician Assistants
Rockville, MD 20850-3357
Phone (240) 826-7072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171109002074 DC Practitioner - Physician Assistant 3870859705 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0005379MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Physician Services, Inc. CurrentSince Feb 20, 2026 Accepting new patients

Locations

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478304000000",
    "number": "1477973956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 MEDICAL CENTER DR",
            "address_2": "DEPARTMENT OF SURGERY - SURGICAL PHYSICIAN ASSISTANTS",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503357",
            "telephone_number": "240-826-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 MEDICAL CENTER DR",
            "address_2": "DEPARTMENT OF SURGERY - SURGICAL PHYSICIAN ASSISTANTS",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503357",
            "telephone_number": "240-826-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASGHAR",
        "first_name": "FEZAN",
        "name_prefix": "Mr.",
        "credential": "MMS, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-23",
        "last_updated": "2016-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0005379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.