Organization Active NPI

Anju Verma MDPC

  • Specialist
  • Germantown, MD
National Provider Identifier
1609962174
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ANJU VERMA MDPC
Practice address
19511 Doctors Dr
Germantown, MD 20874-5247
Phone
(301) 515-1890
Fax
(301) 337-6259
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Authorized official

Name
Atul Verma
Title
VP Operations
Phone
(240) 396-7942

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

19511 Doctors Dr
Germantown, MD 20874-5247

Mailing address

19511 Doctors Dr
Germantown, MD 20874-5247
Phone (301) 515-1890

Other identifiers 1

IdentifierTypeStateIssuer
410284300MedicaidMD

Other names 1

  • Diabetes & Hormone Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060420000245 DC Part B Supplier - Clinic/Group Practice 4688683501 Receives reassigned benefits from 1 practitioner
Practice locations: Germantown, MD; Rockville, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1609962174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19511 DOCTORS DR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208745247",
            "telephone_number": "301-515-1890",
            "fax_number": "301-337-6259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19511 DOCTORS DR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208745247",
            "telephone_number": "301-515-1890",
            "fax_number": "301-337-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANJU VERMA MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "VERMA",
        "authorized_official_first_name": "ATUL",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "240-396-7942"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410284300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diabetes & Hormone Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.