NPIMap

Individual provider Active NPI

Louis J Larca, M.D.

  • Cardiovascular Disease Physician
  • Rockville, MD
National Provider Identifier
1669433322
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D0027837 Issued in MD
Practice address
15215 Shady Grove Rd
Suite 306
Rockville, MD 20850-3235
Phone
(301) 990-0040
Fax
(301) 990-0043
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D0027837 MD Primary

Addresses

Primary practice location

15215 Shady Grove Rd
Suite 306
Rockville, MD 20850-3235

Mailing address

15215 Shady Grove Rd
Suite 306
Rockville, MD 20850-3235
Phone (301) 990-0040

Other identifiers 5

IdentifierTypeStateIssuer
41663001OtherMDBCBS OF MD INDIVIDUAL #
4787OtherDCBCBS OF DC GROUP NUMBER
351681400MedicaidMD
0006OtherDCBCBS OF DC INDIVIDUAL #
H830OtherMDBCBS OF MD GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0027837MDMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Healthcare, Inc. Cardiovascular Disease Past Accepting new patients
Adventist Physician Services (Wah) Cardiovascular Disease PastSince Dec 18, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1669433322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15215 SHADY GROVE RD",
            "address_2": "SUITE 306",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503235",
            "telephone_number": "301-990-0040",
            "fax_number": "301-990-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15215 SHADY GROVE RD",
            "address_2": "SUITE 306",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503235",
            "telephone_number": "301-990-0040",
            "fax_number": "301-990-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARCA",
        "first_name": "LOUIS",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0027837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MD INDIVIDUAL #",
            "identifier": "41663001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF DC GROUP NUMBER",
            "identifier": "4787",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351681400",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF DC INDIVIDUAL #",
            "identifier": "0006",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MD GROUP NUMBER",
            "identifier": "H830",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; 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.