Individual provider Active NPI

Shira Spilman, PA-C

  • Physician Assistant
  • Rockville, MD
National Provider Identifier
1699920124
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0004227 Issued in MD
Practice address
9420 Key West Avenue
Suite 202
Rockville, MD 20850-6288
Phone
(301) 251-9555
Fax
(301) 309-0765
NPI assigned
Nov 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA053634 PA
Physician Assistant 363A00000X C0004227 MD Primary

Addresses

Primary practice location

9420 Key West Avenue
Suite 202
Rockville, MD 20850-6288

Mailing address

12510 Prosperity Dr
Suite 200
Silver Spring, MD 20904-1663
Phone (240) 485-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110325000739 DC Practitioner - Physician Assistant 5193888139 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0004227MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Digestive Care, LLC CurrentSince Nov 6, 2010 Accepting new patients
Endoscopy Center of Washington DC LP Current Accepting new patients
Capital Digestive Care, LLC CurrentSince Nov 6, 2010 Accepting new patients
First Class Anesthesia, LLC Past Accepting new patients
David a. Morowitz Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

15001 Shady Grove Rd
Ste 300
Rockville, MD 20850
Phone (301) 340-3252

12510 Prosperity Dr
Ste 200
Silver Spring, MD 20904
Phone (240) 485-5200

Interoperability endpoints

  • Direct secure messaging: shira.spilman.capitaldigestivecare@directaddress.net

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1699920124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12510 PROSPERITY DR",
            "address_2": "SUITE 200",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041663",
            "telephone_number": "240-485-5200",
            "fax_number": "301-625-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9420 KEY WEST AVENUE",
            "address_2": "SUITE 202",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506288",
            "telephone_number": "301-251-9555",
            "fax_number": "301-309-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPILMAN",
        "first_name": "SHIRA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-25",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA053634",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0004227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.