Irina a. Skopets, MD, PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

D0050704 Issued in MD

Legal business name

IRINA A. SKOPETS, MD, PA

Practice address

16220 Frederick Rd
Suite 206
Gaithersburg, MD 20877-4039

Phone

(410) 303-4840

NPI assigned

Mar 3, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Irina A Skopets, MDNPI 1538116330

Title

Owner-Physician

Phone

(301) 315-0514

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

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

• Irina A Skopets, MD

  • Neurology Physician
  • Gaithersburg, MD
  • NPI 1538116330

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545177600000",
    "number": "1700184587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14321 POTOMAC HEIGHTS LN",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503845",
            "telephone_number": "410-303-4840",
            "fax_number": "240-780-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16220 FREDERICK RD",
            "address_2": "SUITE 206",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208774039",
            "telephone_number": "410-303-4840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRINA A. SKOPETS, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2018-12-19",
        "status": "A",
        "authorized_official_last_name": "SKOPETS",
        "authorized_official_first_name": "IRINA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER-PHYSICIAN",
        "authorized_official_telephone_number": "301-315-0514",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MD",
            "license": "D0050704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70040010000",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70040010001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jonathan Isen, OTR/L
• Alan Joel Isenberg
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• Neurology Physician in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Neurology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.