Afsaneh Golban, AGACNP-BC

Primary specialty

Gerontology Registered NurseTaxonomy code 163WG0600X

License

R236897 Issued in MD

Practice address

12104 Red Admiral Way
Germantown, MD 20876-5938

Phone

(202) 413-2849

NPI assigned

Nov 13, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Afsaneh Golban Former name

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

Specialty

Nurse Practitioner

Education

George Washington University School of Medicine, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ajit P Kuruvilla MD LLCGroup PAC ID 8729304118, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Ajit P Kuruvilla MD LLC

  • Pulmonary Disease Physician
  • Rockville, MD
  • NPI 1801131024

  DC

  Medicare reassignment Care Compare group NPD
• Gaithersburg Critical Care Associates LLC

  • Pulmonary Disease Physician
  • Rockville, MD
  • NPI 1144250218
  NPD (past)

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1508630369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12104 RED ADMIRAL WAY",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208765938",
            "telephone_number": "202-413-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12104 RED ADMIRAL WAY",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208765938",
            "telephone_number": "202-413-2849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLBAN",
        "first_name": "AFSANEH",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "MD",
            "license": "R236897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AFSANEH",
            "last_name": "GOLBAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• GMS Medical Eye Center, LLC
• Michael W Godfrey
• Sharon Godonou
• Isaac Meir Gohary
• Geoffrey Goidell
• Tobi Brenneman Goldfus, LCSW-C, BCD
• Nancy Goldspiel, RPH
• Elisa Goldstein, MS CCC/SLP
• Mark Adam Goldstein, M.D.
• Mark G Goldstein, MD

• Gerontology Registered Nurse in Germantown, MD
• Providers in Germantown, MD by specialty
• Gerontology Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.