Organization Active NPI

Rockville Medical Care LLC

  • Internal Medicine Physician
  • Rockville, MD
National Provider Identifier
1679009617
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D64024 Issued in MD
Legal business name
ROCKVILLE MEDICAL CARE LLC
Practice address
2401 Research Blvd
Suite 360
Rockville, MD 20850-3215
Phone
(240) 449-8900
Fax
(240) 566-5775
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Janna Lachtchinina, M.D.NPI 1740227529
Title
Owner
Phone
(301) 601-9600

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X D64024 MD Primary

Addresses

Primary practice location

2401 Research Blvd
Suite 360
Rockville, MD 20850-3215

Mailing address

540 Monet Dr
Rockville, MD 20850-3020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170720001031 DC Part B Supplier - Clinic/Group Practice 7719257989 Receives reassigned benefits from 1 practitioner
Practice locations: Rockville, MD

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D2133736Rockville Medical Care LLC2401 Research Blvd Suite 360, Rockville, MD 20850Certificate of waiverJul 18, 2027

National Provider Directory

National Provider Directory

Locations

2401 Research Blvd
Ste 360
Rockville, MD 20850
Phone (240) 449-8900

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1679009617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 MONET DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 RESEARCH BLVD",
            "address_2": "SUITE 360",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503215",
            "telephone_number": "240-449-8900",
            "fax_number": "240-566-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKVILLE MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "LACHTCHININA",
        "authorized_official_first_name": "JANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-601-9600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D64024",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 11, 2017; 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.