Organization Active NPI

Washington Orthopaedic & Knee Clinic

  • Orthopaedic Surgery Physician
  • Clinton, MD
National Provider Identifier
1689623712
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
WASHINGTON ORTHOPAEDIC & KNEE CLINIC
Practice address
7801 Old Branch Avenue
Suite 409
Clinton, MD 20635
Phone
(240) 318-0420
Fax
(240) 318-0433
NPI assigned
May 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Authorized official

Name
Mehrdad M Malek, MDNPI 1992788806
Title
President
Phone
(703) 448-8010

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
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

7801 Old Branch Avenue
Suite 409
Clinton, MD 20635

Mailing address

PO Box 10626
McLean, VA 22102-9626
Phone (703) 448-8010

Other identifiers 3

IdentifierTypeStateIssuer
504174OtherAETNA
H295WAOtherMDCAREFIST MARYLAND
021798OtherANTHEM BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040806000939 DC Part B Supplier - Clinic/Group Practice 9032181441 Receives reassigned benefits from 2 practitioners
Practice locations: Fairfax, VA

National Provider Directory

National Provider Directory

Locations

7801 Old Branch Ave
Ste 409
Clinton, MD 20735
Phone (240) 403-3322

7801 Old Branch Ave
Ste 412
Clinton, MD 20735
Phone (703) 641-5633

801 Wayne Ave
Ste 102
Silver Spring, MD 20910
Phone (703) 641-5633

8316 Arlington Blvd
Ste 400
Fairfax, VA 22031
Phone (703) 205-1919

8318 Arlington Blvd
Ste 100A
Fairfax, VA 22031
Phone (703) 204-8333

Practitioners & affiliated clinicians

Practitioners 5

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": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1689623712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10626",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221029626",
            "telephone_number": "703-448-8010",
            "fax_number": "703-821-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 OLD BRANCH AVENUE",
            "address_2": "SUITE 409",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "20635",
            "telephone_number": "240-318-0420",
            "fax_number": "240-318-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON ORTHOPAEDIC & KNEE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "MALEK",
        "authorized_official_first_name": "MEHRDAD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-448-8010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "504174",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIST MARYLAND",
            "identifier": "H295WA",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE SHIELD",
            "identifier": "021798",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.