Organization Active NPI

Picassomd, Inc.

  • Internal Medicine Physician
  • Bethesda, MD
National Provider Identifier
1659100469
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PICASSOMD, INC.
Practice address
8701 Bellwood Rd
Bethesda, MD 20817-3032
Phone
(202) 494-2266
NPI assigned
Jul 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Samuel Von Pollaro
Title
Coceo
Phone
(703) 244-7923

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

8701 Bellwood Rd
Bethesda, MD 20817-3032

Mailing address

5237 River Rd # 359
Bethesda, MD 20816-1415
Phone (703) 244-7923

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address referrals@direct-msg.picassomd.com Direct

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: referrals@direct-msg.picassomd.com

NPI Registry JSON

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1659100469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5237 RIVER RD # 359",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208161415",
            "telephone_number": "703-244-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8701 BELLWOOD RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208173032",
            "telephone_number": "202-494-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICASSOMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "VON POLLARO",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "COCEO",
        "authorized_official_telephone_number": "703-244-7923"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "referrals@direct-msg.picassomd.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8701 Bellwood Rd",
            "city": "Bethesda",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208173032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.