NPIMap

Individual provider Active NPI

Madhavi Hubbly, M.D

  • Internal Medicine Physician
  • Gaithersburg, MD
National Provider Identifier
1710074521
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0062562 Issued in MD
Practice address
12116 Darnestown Rd
Suite L5
Gaithersburg, MD 20878-2227
Phone
(301) 528-4134
Fax
(301) 569-7358
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0062562 MD Primary

Addresses

Primary practice location

12116 Darnestown Rd
Suite L5
Gaithersburg, MD 20878-2227

Mailing address

12116 Darnestown Rd
Suite L5
Gaithersburg, MD 20878-2227
Phone (301) 528-4134

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070802000702 DC Practitioner - Internal Medicine 8628019973 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0062562MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Madhavi Hubbly MD Internal Medicine CurrentSince Apr 1, 2015 Accepting new patients
MD Pacs 2 PC Internal Medicine Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Osler Inpatient Services Internal Medicine Past Accepting new patients

Locations

12116 Darnestown Rd
#L5
Gaithersburg, MD 20878
Phone (301) 528-4134

12116 Darnestown Rd
Ste L5
Gaithersburg, MD 20878
Phone (301) 528-4134

Interoperability endpoints

  • Direct secure messaging: madhavi.hubbly@mhml.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EFGADA

Organizations & group practices 6

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 3

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

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madhavi Hubbly MD 2 clinicians
Suburban/NRH Medical Rehabilitation Inc 885 clinicians

Practice addresses (Care Compare)

12116 Darnestown Rd
L5
Gaithersburg, MD 20878-2227
Phone (301) 528-4134

6410 Rockledge Dr
Bethesda, MD 20817-1844

Hospital & facility affiliations

  • Adventist Home Health Services, Inc. Home health agency, Silver Spring, MD, CCN 217032
  • Holy Cross Home Care and Hospice Home health agency, Silver Spring, MD, CCN 217030
  • Adventist Healthcare Rehabilitation at Rockville Inpatient rehabilitation facility, Rockville, MD, CCN 213029

Merit-based Incentive Payment System (MIPS)

Final score
93.77 of 100Reported as individual
Quality
99.74
Improvement activities
40
Cost
77.04

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1710074521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12116 DARNESTOWN RD",
            "address_2": "SUITE L5",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782227",
            "telephone_number": "301-528-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12116 DARNESTOWN RD",
            "address_2": "SUITE L5",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208782227",
            "telephone_number": "301-528-4134",
            "fax_number": "301-569-7358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBLY",
        "first_name": "MADHAVI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0062562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.