Individual provider Active NPI

Shray Nohria, MD

  • Internal Medicine Physician
  • Riverdale, MD
National Provider Identifier
1659755460
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D86601 Issued in MD
Practice address
6502 Kenilworth Ave Ste 100
Riverdale, MD 20737-1372
Phone
(301) 927-0088
Fax
(301) 927-7239
NPI assigned
Jul 13, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X D86601 MD Primary

Addresses

Primary practice location

6502 Kenilworth Ave Ste 100
Riverdale, MD 20737-1372

Mailing address

6502 Kenilworth Ave Ste 100
Riverdale, MD 20737-1372
Phone (301) 927-0088

Other identifiers 1

IdentifierTypeStateIssuer
D86601OtherMDMARYLAND MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190228000877 DC Practitioner - Internal Medicine 4385983816 Reassigns benefits to 1 organization
I20190228001480 MD Practitioner - Internal Medicine 4385983816 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Rochester School of Medicine and Dentistry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Luminis Health Medical Group, LLCGroup PAC ID 2860447315, 540 clinicians

Practice addresses (Care Compare)

2191 Defense Hwy
Suite 201
Crofton, MD 21114-2469
Phone (410) 451-9091

4175 N Hanson Court
201 Luminis Health Breast Center of Bowie
Bowie, MD 20716-3181
Phone (443) 481-5300

4175 N Hanson CT
Bowie, MD 20716-3181

5710 Silver Hill Rd
Suite 210
District Heights, MD 20747-1101
Phone (301) 736-7000

5859 Allentown Way
DCP Primary Care
Temple Hills, MD 20748-2613
Phone (240) 563-1026

Hospital & facility affiliations

  • Medstar Health Home Care Home health agency, Hyattsville, MD, CCN 217150
  • Adventist Home Health Services, Inc. Home health agency, Silver Spring, MD, CCN 217032
  • Adoration Home Health Marlboro Home health agency, Upper Marlboro, MD, CCN 217047
  • Luminis Health Anne Arundel Medical Center, Inc Hospital, Annapolis, MD, CCN 210023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D86601MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC CurrentSince Apr 1, 2020 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Apr 1, 2020 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
Luminis Health Medical Group, LLC Internal Medicine CurrentSince Apr 1, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Luminis Health Medical Group, LLC Internal Medicine Past Accepting new patients

Locations

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

2001 Medical Pkwy
Ofc
Annapolis, MD 21401
Phone (443) 481-1091

4175 N Hanson Ct
Ste 201
Bowie, MD 20716
Phone (443) 481-1199

2191 Defense Hwy
Ste 201
Crofton, MD 21114
Phone (410) 451-9091

6400 Marlboro Pike
Forestville, MD 20747
Phone (301) 736-6900

13900 Baltimore Ave
Laurel, MD 20707
Phone (301) 277-3331

6502 Kenilworth Ave
Ste 100
Riverdale Park, MD 20737
Phone (301) 927-4200

Interoperability endpoints

  • Direct secure messaging: snohria112960@direct.aahs.org

Organizations & group practices 7

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

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1659755460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6502 KENILWORTH AVE STE 100",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371372",
            "telephone_number": "301-927-0088",
            "fax_number": "301-927-7239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6502 KENILWORTH AVE STE 100",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371372",
            "telephone_number": "301-927-0088",
            "fax_number": "301-927-7239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOHRIA",
        "first_name": "SHRAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-13",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D86601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND MEDICAL LICENSE",
            "identifier": "D86601",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, MD

Sources for this page

Verify at the official NPI Registry.