Individual provider Active NPI

Martin S. Kanovsky, M.D.

  • Cardiovascular Disease Physician
  • Chevy Chase, MD
National Provider Identifier
1568437333
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D0029229 Issued in MD
Practice address
5530 Wisconsin Ave Ste 700
Chevy Chase, MD 20815-4401
Phone
(301) 656-5050
Fax
(301) 656-3168
NPI assigned
Feb 23, 2006
Last updated
Sep 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D0029229 MD Primary

Addresses

Primary practice location

5530 Wisconsin Ave Ste 700
Chevy Chase, MD 20815-4401

Mailing address

5530 Wisconsin Ave Ste 700
Chevy Chase, MD 20815-4401
Phone (301) 656-5050

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
I20070125000512 DC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0143221614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Perelman School of Med at the University of Pennsylvania, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5530 Wisconsin Ave
Suite 700
Chevy Chase, MD 20815-4401

Merit-based Incentive Payment System (MIPS)

Final score
57.65 of 100Reported as individual
Quality
75.93
Promoting interoperability
0
Improvement activities
40
Cost
66.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0029229MDMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiocare LLC CurrentSince Jan 1, 2007 Accepting new patients
Cardio Diagnostic Center Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5530 Wisconsin Ave
Ste 700
Chevy Chase, MD 20815
Phone (301) 654-6442

5530 Wisconsin Ave
Ste 740
Chevy Chase, MD 20815
Phone (301) 654-0434

Organizations & group practices 3

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1568437333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE STE 700",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154401",
            "telephone_number": "301-656-5050",
            "fax_number": "301-654-4237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 WISCONSIN AVE STE 700",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154401",
            "telephone_number": "301-656-5050",
            "fax_number": "301-656-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANOVSKY",
        "first_name": "MARTIN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0029229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.