Individual provider Active NPI

Diana Rapalo, CRNP

  • Family Nurse Practitioner
  • Bethesda, MD
National Provider Identifier
1730710609
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R207501 Issued in MH
Practice address
10215 Fernwood Rd Ste 630
Bethesda, MD 20817-1184
Phone
(240) 449-3094
Fax
(240) 489-4415
NPI assigned
Jan 30, 2020
Last updated
Jan 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R207501 MH Primary

Addresses

Primary practice location

10215 Fernwood Rd Ste 630
Bethesda, MD 20817-1184

Mailing address

10125 Ashburton LN Ste 630
Bethesda, MD 20817-1729
Phone (240) 370-3773

Other identifiers 1

IdentifierTypeStateIssuer
R207501OtherMDSTATE OF MARYLAND LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Bethesda Direct

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
I20200303002547 DC Practitioner - Nurse Practitioner 2668809609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Diabetes and Endocrine Associates LLCGroup PAC ID 7214299502, 13 clinicians

Practice addresses (Care Compare)

5801 Allentown Rd
Suite 500
Camp Springs, MD 20746-4518
Phone (301) 899-7713

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R207501MHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Diabetes & Endocrine Associates LLC CurrentSince Oct 1, 2021 Accepting new patients

Locations

2101 Medical Park Dr
Ste 211
Silver Spring, MD 20902
Phone (301) 589-3277

5801 Allentown Rd
Ste 500
Suitland, MD 20746
Phone (301) 899-7713

Interoperability endpoints

  • Direct secure messaging: diana.rapalo@cdea.eclinicaldirectplus.com

Organizations & group practices 1

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": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1730710609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10125 ASHBURTON LN STE 630",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171729",
            "telephone_number": "240-370-3773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10215 FERNWOOD RD STE 630",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171184",
            "telephone_number": "240-449-3094",
            "fax_number": "240-489-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPALO",
        "first_name": "DIANA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MH",
            "license": "R207501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MARYLAND LICENSE",
            "identifier": "R207501",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bethesda",
            "affiliation": "N",
            "endpointDescription": "Hipaa Compliance e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Bethesda",
            "address_1": "10215 Fernwood Rd Ste 630",
            "city": "Bethesda",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208171184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.