Organization Active NPI

Xiaoping Shao M.D LLC

  • Psychiatry Physician
  • Gaithersburg, MD
National Provider Identifier
1568952273
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D63084 Issued in MD
Legal business name
XIAOPING SHAO M.D LLC
Doing business as
Xiaoping Shao M.D LLC
Practice address
9035 Shady Grove CT
Gaithersburg, MD 20877-1301
Phone
(301) 377-1836
Fax
(301) 281-4002
NPI assigned
May 17, 2018
Last updated
May 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Authorized official

Name
Priyanka Malhotra, CREDENTIAL
Title
Billar
Phone
(301) 377-1836

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X D63084 MD Primary

Addresses

Primary practice location

9035 Shady Grove CT
Gaithersburg, MD 20877-1301

Mailing address

9035 Shady Grove CT
Gaithersburg, MD 20877-1301
Phone (301) 377-1836

Other names 1

  • XIAOPING SHAO M.D LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180608000909 DC Part B Supplier - Clinic/Group Practice 3274888573 Receives reassigned benefits from 1 practitioner
Practice locations: Boyds, MD

National Provider Directory

National Provider Directory

Locations

9035 Shady Grove Ct
Gaithersburg, MD 20877
Phone (240) 205-2081

9710 Traville Gateway Dr
Rockville, MD 20850

Practitioners & affiliated clinicians

Practitioners 1

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": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1568952273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9035 SHADY GROVE CT",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771301",
            "telephone_number": "301-377-1836",
            "fax_number": "301-281-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9035 SHADY GROVE CT",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771301",
            "telephone_number": "301-377-1836",
            "fax_number": "301-281-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XIAOPING SHAO M.D LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-05-17",
        "status": "A",
        "authorized_official_last_name": "MALHOTRA",
        "authorized_official_first_name": "PRIYANKA",
        "authorized_official_title_or_position": "BILLAR",
        "authorized_official_telephone_number": "301-377-1836",
        "authorized_official_credential": "CREDENTIAL"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D63084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "XIAOPING SHAO M.D LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.