Organization Active NPI

Imelda Cabalar, MD, LLC

  • Rheumatology Physician
  • Fort Washington, MD
National Provider Identifier
1649410879
Registry record updated Mar 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
D0068378 Issued in MD
Legal business name
IMELDA CABALAR, MD, LLC
Practice address
11701 Livingston Rd
Suite 309
Ft Washington, MD 20744-5104
Phone
(301) 203-4263
NPI assigned
Feb 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2009

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

Authorized official

Name
Dr. Imelda P Cabalar, M.D.NPI 1891774576
Title
Member
Phone
(301) 203-4263

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
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X D0068378 MD Primary

Addresses

Primary practice location

11701 Livingston Rd
Suite 309
Ft Washington, MD 20744-5104

Mailing address

11701 Livingston Rd
Suite 309
Ft Washington, MD 20744-5104
Phone (301) 203-4263

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090702000639 DC Part B Supplier - Clinic/Group Practice 6709937709 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Washington, MD

National Provider Directory

National Provider Directory

Locations

11701 Livingston Rd
Ste 309
Ft Washington, MD 20744
Phone (301) 203-0659

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": "1235692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1649410879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11701 LIVINGSTON RD",
            "address_2": "SUITE 309",
            "city": "FT WASHINGTON",
            "state": "MD",
            "postal_code": "207445104",
            "telephone_number": "301-203-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11701 LIVINGSTON RD",
            "address_2": "SUITE 309",
            "city": "FT WASHINGTON",
            "state": "MD",
            "postal_code": "207445104",
            "telephone_number": "301-203-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMELDA CABALAR, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-27",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "CABALAR",
        "authorized_official_first_name": "IMELDA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "301-203-4263",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MD",
            "license": "D0068378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Washington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.