Active NPI
Madhavi Hubbly MD
- Primary Care Clinic/Center
- Gaithersburg, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- MADHAVI HUBBLY MD
- Practice address
- 12116 Darnestown Rd Ste L5
Gaithersburg, MD 20878-2227 - Phone
- (301) 528-4134
- Fax
- (301) 569-7358
- NPI assigned
- Jan 6, 2015
- Last updated
- May 24, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Madhavi Hubbly, MD
- Title
- Physician
- Phone
- (301) 528-4134
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D62562 | MD | |
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
12116 Darnestown Rd Ste L5
Gaithersburg, MD 20878-2227
Mailing address
12116 Darnestown Rd Ste L5
Gaithersburg, MD 20878-2227
Phone (301) 528-4134
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 21D2093108 | Madhavi Hubbly, MD, LLC | Certificate of waiver | Mar 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
12116 Darnestown Rd
#L5
Gaithersburg, MD 20878
Phone (301) 528-4134
12116 Darnestown Rd
Ste L5
Gaithersburg, MD 20878
Phone (301) 528-4134
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EFGADA
Practitioners & affiliated clinicians
Practitioners 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684886400000",
"number": "1669860128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12116 DARNESTOWN RD STE L5",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208782227",
"telephone_number": "301-528-4134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12116 DARNESTOWN RD STE L5",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208782227",
"telephone_number": "301-528-4134",
"fax_number": "301-569-7358"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MADHAVI HUBBLY MD",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-06",
"last_updated": "2023-05-24",
"certification_date": "2023-05-24",
"status": "A",
"authorized_official_last_name": "HUBBLY",
"authorized_official_first_name": "MADHAVI",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "301-528-4134",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MD",
"license": "D62562",
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.