NPIMap

Organization Active NPI

Advanced Pathology Associates, LLC

  • Clinical Medical Laboratory
  • Rockville, MD
National Provider Identifier
1568400489
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
ADVANCED PATHOLOGY ASSOCIATES, LLC
Practice address
9901 Medical Center Dr
Rockville, MD 20850-3357
Phone
(240) 364-2515
NPI assigned
Jun 3, 2006
Last updated
Aug 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Authorized official

Name
Dr. Nicolas Cacciabeve, MDNPI 1174629687
Title
Pathologist
Phone
(240) 826-6000

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
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

9901 Medical Center Dr
Rockville, MD 20850-3357

Mailing address

PO Box 79906
Baltimore, MD 21279-0906
Phone (240) 364-2515

Other identifiers 2

IdentifierTypeStateIssuer
900102600MedicaidMD
CI1446OtherMDRAILROAD GRP. #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040421001322 DC Part B Supplier - Clinic/Group Practice 6406842962 Receives reassigned benefits from 14 practitioners
Practice locations: Takoma Park, MD; Upper Marlboro, MD; Silver Spring, MD; Rockville, MD; Reston, VA; Bowie, MD; Laurel, MD
O20091210000418 MD Part B Supplier - Clinic/Group Practice 6406842962 Receives reassigned benefits from 11 practitioners
Practice locations: La Plata, MD

National Provider Directory

National Provider Directory
Tax ID family
Advanced Pathology Associates LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1568400489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79906",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212790906",
            "telephone_number": "240-364-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 MEDICAL CENTER DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503357",
            "telephone_number": "240-364-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PATHOLOGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "CACCIABEVE",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_title_or_position": "PATHOLOGIST",
        "authorized_official_telephone_number": "240-826-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "900102600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GRP. #",
            "identifier": "CI1446",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.