Digestive Disease Clinic, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

DIGESTIVE DISEASE CLINIC, LLC

Practice address

11400 Rockville Pike
Suite 108
Rockville, MD 20852-3004

Phone

(301) 770-3334

Fax

(301) 770-3336

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Charles Afam Obioha, M.D.NPI 1235224270

Title

Medical Director

Phone

(301) 770-3334

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Charles Afam Obioha, M.D.

  • Specialist
  • Rockville, MD
  • NPI 1235224270

  DC

  Medicare reassignment Care Compare group NPD Authorized official
• Anandita Ashoke Datta, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Bowie, MD
  • NPI 1922030477

  DC

  Medicare reassignment Care Compare group NPD
• Robert Hardi, M.D.

  • Gastroenterology Physician
  • Chevy Chase, MD
  • NPI 1285693440

  DC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710072749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 ROCKVILLE PIKE",
            "address_2": "SUITE 108",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523004",
            "telephone_number": "301-770-3334",
            "fax_number": "301-770-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 ROCKVILLE PIKE",
            "address_2": "SUITE 108",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523004",
            "telephone_number": "301-770-3334",
            "fax_number": "301-770-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE DISEASE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OBIOHA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "AFAM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "301-770-3334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Dicus
• Marietou Dieng
• Marissa Dier
• Marc P. Difazio, M.D.
• Veronica Ann Difresco, MD
• Digestive Disease Consultants PA
• Adell Diggs
• Noriah Janae Diggs
• Veronica Diggs
• Digitrace Care Services Inc

• Specialist in Rockville, MD
• Providers in Rockville, MD by specialty
• Specialist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.