Soorya Namboodiri Aggarwal, DO

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

H0092882 Issued in MD

Practice address

15001 Shady Grove Rd Ste 300
Rockville, MD 20850-6353

Phone

(301) 340-3252

Fax

(301) 340-1423

NPI assigned

May 3, 2017

Last updated

Jun 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Soorya Krishnan Namboodiri Former name

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

GastroenterologyAlso: Internal Medicine

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Capital Digestive Care LLCGroup PAC ID 3870669419, 241 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medstar Montgomery Medical Center Hospital, Olney, MD, CCN 210018
• Adventist Healthcare Shady Grove Medical Center Hospital, Rockville, MD, CCN 210057
• Adventist Healthcare White Oak Medical Center Hospital, Silver Spring, MD, CCN 210016

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Capital Digestive Care LLC

  • Gastroenterology Physician
  • Silver Spring, MD
  • NPI 1164683181

  DC

  Medicare reassignment Care Compare group NPD
• Capital Digestive Care, LLC

  • Gastroenterology Physician
  • Temple Hills, MD
  • NPI 1437997988
  NPD
• Endoscopy Center of Washington DC LP

  dba The Endoscopy Center of Washington, D.C.

  • Ambulatory Surgical Clinic/Center
  • Washington, DC
  • NPI 1154301240
  NPD
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Capital Digestive Care ,LLC

  • Gastroenterology Physician
  • Suffolk, VA
  • NPI 1760541460
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventist Healthcare, Inc.

  dba Adventist HealthCare White Oak Medical Center

  • General Acute Care Hospital
  • Silver Spring, MD
  • NPI 1487650024
  Care Compare affiliation
• Adventist Healthcare, Inc.

  dba Adventist HealthCare Shady Grove Medical Center

  • General Acute Care Hospital
  • Rockville, MD
  • NPI 1568468221
  Care Compare affiliation
• Montgomery General Hospital, Inc.

  • General Acute Care Hospital
  • Olney, MD
  • NPI 1114922341
  Care Compare affiliation

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1649706193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10770 COLUMBIA PIKE STE 400",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209014462",
            "telephone_number": "215-589-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15001 SHADY GROVE RD STE 300",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506353",
            "telephone_number": "301-340-3252",
            "fax_number": "301-340-1423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10801 Lockwood Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209011562",
            "country_code": "US",
            "telephone_number": "301-593-2002",
            "fax_number": "301-593-4781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3415 Olandwood Ct Ste 101",
            "address_purpose": "LOCATION",
            "city": "Olney",
            "state": "MD",
            "postal_code": "208321490",
            "country_code": "US",
            "telephone_number": "301-593-2002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20528 Boland Farm Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208764038",
            "country_code": "US",
            "telephone_number": "301-593-2002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGGARWAL",
        "first_name": "SOORYA",
        "middle_name": "NAMBOODIRI",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-03",
        "last_updated": "2023-06-09",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OT017722",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MD",
            "license": "H0092882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOORYA",
            "last_name": "NAMBOODIRI",
            "middle_name": "KRISHNAN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Gastroenterology Physician in Rockville, MD
• Providers in Rockville, MD by specialty
• Gastroenterology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.