NPIMap

Organization Active NPI

Scholar Medical Group MD LLC

  • Clinic/Center
  • Rockville, MD
National Provider Identifier
1639796428
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SCHOLAR MEDICAL GROUP MD LLC
Practice address
133 Rollins Ave Ste 3
Rockville, MD 20852-4040
Phone
(202) 935-1033
Fax
(202) 935-1033
NPI assigned
Jun 29, 2020
Last updated
May 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Authorized official

Name
Dipak ShahNPI 1598792731
Title
MD
Phone
(202) 935-1033

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

133 Rollins Ave Ste 3
Rockville, MD 20852-4040

Mailing address

133 Rollins Ave Ste 3
Rockville, MD 20852-4040
Phone (202) 935-1033

National Provider Directory

National Provider Directory

Locations

133 Rollins Ave
Ste 300
Rockville, MD 20852

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1639796428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 ROLLINS AVE STE 3",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524040",
            "telephone_number": "202-935-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 ROLLINS AVE STE 3",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524040",
            "telephone_number": "202-935-1033",
            "fax_number": "202-935-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHOLAR MEDICAL GROUP MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-29",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "DIPAK",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "202-935-1033"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "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 May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.