Individual provider Active NPI

Andre Gazdag, M.D.

  • Orthopaedic Foot and Ankle Surgery Physician
  • Bethesda, MD
National Provider Identifier
1497750616
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
D53848 Issued in MD
Practice address
10215 Fernwood Rd
Ste 506
Bethesda, MD 20817-1184
Phone
(301) 530-1010
Fax
(301) 897-8597
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D53848 MD
Orthopaedic Surgery Physician 207X00000X D53848 MD
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X D53848 MD Primary

Addresses

Primary practice location

10215 Fernwood Rd
Ste 506
Bethesda, MD 20817-1184

Mailing address

10215 Fernwood Rd
Ste 506
Bethesda, MD 20817-1184
Phone (301) 530-1010

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100331000726 DC Practitioner - Orthopedic Surgery 2264518588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Duke University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bethesda Chevy Chase Orthopaedic Associates, LLCGroup PAC ID 4789631011, 138 clinicians
Amber Hill Physical Therapy IncGroup PAC ID 8527963917, 336 clinicians
Suburban/NRH Medical Rehabilitation IncGroup PAC ID 6507846771, 885 clinicians

Practice addresses (Care Compare)

10215 Fernwood Rd
Suite 506
Bethesda, MD 20817-1184
Phone (301) 530-1010

187 Thomas Johnson Dr
Suite 6
Frederick, MD 21702-4503

6410 Rockledge Dr
Suite 600
Bethesda, MD 20817-1844

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D53848MDMDOrthopaedic Foot and Ankle Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bethesda Chevy Chase Orthopaedic Associates, LLC CurrentSince Oct 1, 1999 Accepting new patients
Bethesda Chevy Chase Orthopaedic Associates, LLC Orthopaedic Surgery CurrentSince Oct 1, 1999 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

10215 Fernwood Rd
Ste 506
Bethesda, MD 20817
Phone (240) 482-2414

19735 Germantown Rd
Ste 120
Germantown, MD 20874
Phone (301) 340-9200

9601 Blackwell Rd
Ste 100
Rockville, MD 20850
Phone (301) 340-9200

1635 N George Mason Dr
Ste 180
Arlington, VA 22205
Phone (703) 276-7798

Interoperability endpoints

  • Direct secure messaging: andregazdag@bccoallp.allscriptsdirect.net
  • Direct secure messaging: agazdag158898@direct.hopkinsmedicine.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1497750616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10215 FERNWOOD RD",
            "address_2": "STE 506",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171184",
            "telephone_number": "301-530-1010",
            "fax_number": "301-897-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10215 FERNWOOD RD",
            "address_2": "STE 506",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171184",
            "telephone_number": "301-530-1010",
            "fax_number": "301-897-8597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAZDAG",
        "first_name": "ANDRE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D53848",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MD",
            "license": "D53848",
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "MD",
            "license": "D53848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.