Individual provider Active NPI

Vicki L. Hudson, M.D.

  • Internal Medicine Physician
  • Chevy Chase, MD
National Provider Identifier
1720043854
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0041409 Issued in MD
Practice address
5550 Friendship Blvd # 360
Chevy Chase, MD 20815-7256
Phone
(703) 712-9799
Fax
(240) 332-9671
NPI assigned
Apr 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2021

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 D0041409 MD Primary

Addresses

Primary practice location

5550 Friendship Blvd # 360
Chevy Chase, MD 20815-7256

Mailing address

5550 Friendship Blvd # 360
Chevy Chase, MD 20815-7256
Phone (703) 712-9799

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040719000606 MD Practitioner - Internal Medicine 1759360118 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
George Washington University School of Medicine, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5080 Spectrum Dr
Suite 1200W
Addison, TX 75001-6443

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Realweigh Doctors MD LLC CurrentSince Apr 20, 2021 Accepting new patients
Capital Healthcare PC Internal Medicine CurrentSince Sep 20, 2017 Accepting new patients
Potomac Physicians PA Internal Medicine Past Accepting new patients
Five Star Physician Services, LLC Internal Medicine Past Accepting new patients
Patient First Maryland Medical Group, PLLC Past Accepting new patients

Locations

5550 Friendship Blvd
#360
Chevy Chase, MD 20815
Phone (240) 332-9670

6955 Oakland Mills Rd
Ste N
Columbia, MD 21045
Phone (410) 290-9990

8205 Snowden River Pkwy
Columbia, MD 21045
Phone (410) 290-9990

Organizations & group practices 5

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1720043854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 FRIENDSHIP BLVD # 360",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208157256",
            "telephone_number": "703-712-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 FRIENDSHIP BLVD # 360",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208157256",
            "telephone_number": "703-712-9799",
            "fax_number": "240-332-9671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "VICKI",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0041409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.