Individual provider Active NPI

Laure Kouyoudjian, P.A.

  • Medical Physician Assistant
  • Chevy Chase, MD
National Provider Identifier
1730325416
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C0003851 Issued in MD
Practice address
5550 Friendship Blvd
Suite T-90
Chevy Chase, MD 20815-7256
Phone
(301) 654-2521
NPI assigned
Dec 30, 2008
Last updated
Jul 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C0003851 MD Primary

Addresses

Primary practice location

5550 Friendship Blvd
Suite T-90
Chevy Chase, MD 20815-7256

Mailing address

12510 Prosperity Dr
Suite 200
Silver Spring, MD 20904-1663
Phone (240) 485-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100318000374 DC Practitioner - Physician Assistant 1254466030 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0003851MDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Endoscopy Center of Washington DC LP Current Accepting new patients
Capital Digestive Care LLC CurrentSince Jan 9, 2010 Accepting new patients
Capital Digestive Care, LLC CurrentSince Jan 9, 2010 Accepting new patients
First Class Anesthesia, LLC Past Accepting new patients
David a. Morowitz Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5550 Friendship Blvd
Ste T90
Chevy Chase, MD 20815
Phone (301) 654-2521

12510 Prosperity Dr
Ste 200
Silver Spring, MD 20904
Phone (240) 485-5200

Interoperability endpoints

  • Direct secure messaging: laure.kouyoudjian.capitaldigestivecare@directaddress.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1730325416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12510 PROSPERITY DR",
            "address_2": "SUITE 200",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041663",
            "telephone_number": "240-485-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 FRIENDSHIP BLVD",
            "address_2": "SUITE T-90",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208157256",
            "telephone_number": "301-654-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUYOUDJIAN",
        "first_name": "LAURE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-30",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0003851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.