Capitol Vascular and Oncology Institute, LLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

CAPITOL VASCULAR AND ONCOLOGY INSTITUTE, LLC

Practice address

7704 Matapeake Business Dr Ste 130
Brandywine, MD 20613-3049

Phone

(301) 358-6070

Fax

(301) 358-6111

NPI assigned

Jun 13, 2018

Last updated

Nov 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hyun J Bang, MDNPI 1336452036

Title

Owner

Phone

(301) 358-6070

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hyun J Bang, M.D.

  • Vascular & Interventional Radiology Physician
  • Brandywine, MD
  • NPI 1336452036

  DC

  Medicare reassignment Care Compare group Authorized official
• Matthew Lawrence Kilbridge, MD

  • Vascular & Interventional Radiology Physician
  • Brandywine, MD
  • NPI 1568810455

  DC

  Medicare reassignment Care Compare group
• Thomas Chung Chang

  • Vascular & Interventional Radiology Physician
  • Washington, DC
  • NPI 1689672743
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1659864775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 902",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221010902",
            "telephone_number": "301-358-6070",
            "fax_number": "301-358-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7704 MATAPEAKE BUSINESS DR STE 130",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206133049",
            "telephone_number": "301-358-6070",
            "fax_number": "301-358-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL VASCULAR AND ONCOLOGY INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "BANG",
        "authorized_official_first_name": "HYUN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-358-6070",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013917967",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7776403000",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brenda L Burnett, LCPC
• Janae Butler
• Shameeka Butler, MSW, LCSW
• Calcium Dental (Diondre L. Venable, DDS LLC)
• Erika Mines Campbell, OTR/L
• Careone Home Care Limited Liability Company
• Thomas Cestare, MD
• Charmaine T Cha Camp, DDS
• Emily Cha, M.D.
• Menghan Chen

• Vascular & Interventional Radiology Physician in Brandywine, MD
• Providers in Brandywine, MD by specialty
• Vascular & Interventional Radiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.