NPIMap

Organization Active NPI

Montgomery Renal Associates P.a.

  • Specialist
  • Wheaton, MD
National Provider Identifier
1558316752
Registry record updated Sep 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MONTGOMERY RENAL ASSOCIATES P.A.
Practice address
3941 Ferrara Dr
Wheaton, MD 20906-4709
Phone
(301) 942-5355
NPI assigned
May 24, 2006
Last updated
Sep 14, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2018

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

Authorized official

Name
Dr. Barry I Hecht, M.D.NPI 1184622631
Title
President
Phone
(301) 942-5355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

3941 Ferrara Dr
Wheaton, MD 20906-4709

Mailing address

3941 Ferrara Dr
Wheaton, MD 20906-4709
Phone (301) 942-5355

Other identifiers 1

IdentifierTypeStateIssuer
792831900MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100324000020 DC Part B Supplier - Clinic/Group Practice 0042345464 Receives reassigned benefits from 6 practitioners
Practice locations: Silver Spring, MD; Rockville, MD

National Provider Directory

National Provider Directory

Locations

15225 Shady Grove Rd
Ste 302
Rockville, MD 20850
Phone (301) 330-0550

3941 Ferrara Dr
Silver Spring, MD 20906
Phone (301) 340-1510

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536883200000",
    "number": "1558316752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 FERRARA DR",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209064709",
            "telephone_number": "301-942-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3941 FERRARA DR",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209064709",
            "telephone_number": "301-942-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY RENAL ASSOCIATES P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2018-09-14",
        "status": "A",
        "authorized_official_last_name": "HECHT",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-942-5355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "792831900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.