Bethesda Internal Medicine and Geriatrics, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D26259 Issued in MD

Legal business name

BETHESDA INTERNAL MEDICINE AND GERIATRICS, P.C.

Practice address

8218 Wisconsin Ave
St 103
Bethesda, MD 20814-3107

Phone

(301) 215-8480

Fax

(301) 215-8401

NPI assigned

Jun 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ava Kaufman, M.D,NPI 1790836138

Title

President

Phone

(301) 215-8480

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ava A Kaufman, M.D.

  • Internal Medicine Physician
  • Bethesda, MD
  • NPI 1790836138

  DC

  Medicare reassignment Care Compare group NPD Authorized official
• Arezou Nazary, MD

  • Internal Medicine Physician
  • Irvine, CA
  • NPI 1063033298

  DC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1659531960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8218 WISCONSIN AVE",
            "address_2": "ST 103",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143107",
            "telephone_number": "301-215-8480",
            "fax_number": "301-215-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8218 WISCONSIN AVE",
            "address_2": "ST 103",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143107",
            "telephone_number": "301-215-8480",
            "fax_number": "301-215-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA INTERNAL MEDICINE AND GERIATRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "AVA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-215-8480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D,"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D26259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.