NPIMap

Organization Active NPI

Endocrine and Diabetes Associates, LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Potomac, MD
National Provider Identifier
1730184599
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
D0031800 Issued in MD
Legal business name
ENDOCRINE AND DIABETES ASSOCIATES, LLC
Practice address
8722 Hickory Bend Trail
Potomac, MD 20854-2557
Phone
(301) 983-3734
Fax
(301) 983-0653
NPI assigned
Jun 17, 2005
Last updated
Apr 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Authorized official

Name
Dr. Patricia Anne Petrick, MDNPI 1407859846
Title
Administrator
Phone
(301) 983-3734

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X D0031800 MD Primary

Addresses

Primary practice location

8722 Hickory Bend Trail
Potomac, MD 20854-2557

Mailing address

8722 Hickory Bend Trail
Potomac, MD 20854-2557
Phone (301) 983-3734

Other identifiers 1

IdentifierTypeStateIssuer
5499011MedicaidMD

National Provider Directory

National Provider Directory

Locations

6430 Rockledge Dr
Ste 300
Bethesda, MD 20817
Phone (301) 468-1451

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744070400000",
    "number": "1730184599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8722 HICKORY BEND TRAIL",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542557",
            "telephone_number": "301-983-3734",
            "fax_number": "301-983-0653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8722 HICKORY BEND TRAIL",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208542557",
            "telephone_number": "301-983-3734",
            "fax_number": "301-983-0653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCRINE AND DIABETES ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2025-04-08",
        "status": "A",
        "authorized_official_last_name": "PETRICK",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "301-983-3734",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MD",
            "license": "D0031800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5499011",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.