Individual provider Active NPI

Thomas James Degraba, M.D.

  • Vascular Neurology Physician
  • Bethesda, MD
National Provider Identifier
1568517068
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
D0037839 Issued in MD
Practice address
8901 Wisconsin Ave
Neurology Dept Building 9 2ND Floor
Bethesda, MD 20850-3666
Phone
(013) 319-3603
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Neurology Physician 2084V0102X D0037839 MD Primary

Addresses

Primary practice location

8901 Wisconsin Ave
Neurology Dept Building 9 2ND Floor
Bethesda, MD 20850-3666

Mailing address

Walter Reed NTL Mil Med CNTR 8901 Wisconsin Ave BLDG 51
Bethesda, MD 20889-0001
Phone (301) 319-3603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0037839MDMDVascular Neurology Physician

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1568517068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WALTER REED NTL MIL MED CNTR 8901 WISCONSIN AVE BLDG 51",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208890001",
            "telephone_number": "301-319-3603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 WISCONSIN AVE",
            "address_2": "NEUROLOGY DEPT BUILDING 9 2ND FLOOR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208503666",
            "telephone_number": "013-319-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGRABA",
        "first_name": "THOMAS",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "MD",
            "license": "D0037839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.