Individual provider Active NPI

Charu Gandotra, M.D.

  • Cardiovascular Disease Physician
  • Washington, DC
National Provider Identifier
1679730279
Registry record updated Oct 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD037571 Issued in DC
Practice address
2041 Georgia Ave NW
Washington, DC 20060-0001
Phone
(202) 865-6100
NPI assigned
May 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2011

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 MD037571 DC Primary

Addresses

Primary practice location

2041 Georgia Ave NW
Washington, DC 20060-0001

Mailing address

2041 Georgia Ave NW
Washington, DC 20060-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110407000149 MD Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2062696545 Reassigns benefits to 2 organizations
I20111103000281 DC Practitioner - Cardiovascular Disease (Cardiology) 2062696545 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Padder Health Services LLCGroup PAC ID 7012072648, 20 clinicians
Meritus Medical Center IncGroup PAC ID 7113811795, 730 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Suite 223
Hagerstown, MD 21742-6727
Phone (240) 203-9000

11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Phone (301) 790-8000

7350 Van Dusen Rd
Laurel, MD 20707-5263
Phone (301) 560-4747

Hospital & facility affiliations

  • Meritus Medical Center Hospital, Hagerstown, MD, CCN 210001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD037571DCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meritus Medical Center Inc CurrentSince Jan 1, 2021 Accepting new patients
Meritus Medical Center Inc CurrentSince Jan 1, 2021 Accepting new patients
Padder Health Services, LLC Cardiovascular Disease CurrentSince Apr 24, 2018 Accepting new patients
Howard University Cardiovascular Disease CurrentSince Jul 28, 2014 Accepting new patients
Padder Health Services, LLC Cardiovascular Disease CurrentSince Apr 24, 2018 Accepting new patients

Locations

2041 Georgia Ave NW
Washington, DC 20060
Phone (202) 865-3785

8850 Columbia 100 Pkwy
Ste 308
Columbia, MD 21045
Phone (301) 560-4747

9710 Patuxent Woods Dr
Ste 100
Columbia, MD 21046
Phone (301) 560-4747

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

11110 Medical Campus Rd
Ste 223
Hagerstown, MD 21742
Phone (240) 203-9000

7350 Van Dusen Rd
Ste 130
Laurel, MD 20707
Phone (301) 498-8880

7350 Van Dusen Rd
Ste B40
Laurel, MD 20707
Phone (240) 456-4772

2101 Medical Park Dr
Ste 305
Silver Spring, MD 20902
Phone (301) 754-0833

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AFEBAA

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1679730279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 GEORGIA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200600001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 GEORGIA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200600001",
            "telephone_number": "202-865-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANDOTRA",
        "first_name": "CHARU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "DC",
            "license": "MD037571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.