NPIMap

Organization Active NPI

Central Maryland Nephrology, LLC

  • Specialist
  • Greenbelt, MD
National Provider Identifier
1679673701
Registry record updated Apr 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CENTRAL MARYLAND NEPHROLOGY, LLC
Practice address
7331 Hanover Pkwy
Suite B
Greenbelt, MD 20770-3621
Phone
(301) 345-0605
Fax
(301) 345-0606
NPI assigned
Sep 25, 2006
Last updated
Apr 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2013

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

Authorized official

Name
Ali Ipakchi, MDNPI 1487618773
Title
Office Manager
Phone
(301) 345-0605

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
Specialist 174400000X Primary

Addresses

Primary practice location

7331 Hanover Pkwy
Suite B
Greenbelt, MD 20770-3621

Mailing address

7331 Hanover Pkwy
Suite B
Greenbelt, MD 20770-3621
Phone (301) 345-0605

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040816001113 DC Part B Supplier - Clinic/Group Practice 1254304413 Receives reassigned benefits from 7 practitioners
Practice locations: Greenbelt, MD
O20050618000137 MD Part B Supplier - Clinic/Group Practice 1254304413 Receives reassigned benefits from 6 practitioners
Practice locations: Annapolis, 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
21D0994438Central Maryland Nephrology LLC7331 Hanover Parkway Ste B, Greenbelt, MD 20770Certificate of waiverDec 13, 2027

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

7331 Hanover Pkwy
Greenbelt, MD 20770

7331 Hanover Pkwy
Ste B
Greenbelt, MD 20770
Phone (301) 345-0605

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365465600000",
    "number": "1679673701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7331 HANOVER PKWY",
            "address_2": "SUITE B",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703621",
            "telephone_number": "301-345-0605",
            "fax_number": "301-345-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7331 HANOVER PKWY",
            "address_2": "SUITE B",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703621",
            "telephone_number": "301-345-0605",
            "fax_number": "301-345-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MARYLAND NEPHROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2013-04-09",
        "status": "A",
        "authorized_official_last_name": "IPAKCHI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-345-0605",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; 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.