Organization Active NPI

Capital Interventional Pain & Spine Center LLC

  • Interventional Pain Medicine Physician
  • Rockville, MD
National Provider Identifier
1619638954
Registry record updated Jan 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
CAPITAL INTERVENTIONAL PAIN & SPINE CENTER LLC
Practice address
3204 Tower Oaks Blvd Ste 440
Rockville, MD 20852-4250
Phone
(301) 841-6600
Fax
(301) 841-6500
NPI assigned
Jan 8, 2022
Last updated
Jan 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2022

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

Authorized official

Name
Dr. Akshay Garg, MDNPI 1518223411
Title
Physician Owner
Phone
(301) 841-6600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X NU Primary

Addresses

Primary practice location

3204 Tower Oaks Blvd Ste 440
Rockville, MD 20852-4250

Mailing address

9006 Ewing Dr
Bethesda, MD 20817-3358
Phone (301) 841-6600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220609000551 DC Part B Supplier - Clinic/Group Practice 1557756392 Receives reassigned benefits from 1 practitioner
Practice locations: Rockville, MD

National Provider Directory

National Provider Directory

Locations

3204 Tower Oaks Blvd
Ste 440
Rockville, MD 20852
Phone (301) 841-6600

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEJGCD

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": "1641600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641600000000",
    "number": "1619638954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9006 EWING DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208173358",
            "telephone_number": "301-841-6600",
            "fax_number": "301-841-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 TOWER OAKS BLVD STE 440",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524250",
            "telephone_number": "301-841-6600",
            "fax_number": "301-841-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL INTERVENTIONAL PAIN & SPINE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-08",
        "last_updated": "2022-01-08",
        "certification_date": "2022-01-08",
        "status": "A",
        "authorized_official_last_name": "GARG",
        "authorized_official_first_name": "AKSHAY",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "301-841-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 8, 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.