Individual provider Active NPI

Marium Parveen, M.D.

  • Psychiatry Physician
  • Gaithersburg, MD
National Provider Identifier
1740320134
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0046457 Issued in MD
Practice address
15886 Gaither Dr Ste B
Gaithersburg, MD 20877-1404
Phone
(822) 814-6862
Fax
(240) 241-6445
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD30686 DC
Psychiatry Physician 2084P0800X D0046457 MD Primary

Addresses

Primary practice location

15886 Gaither Dr Ste B
Gaithersburg, MD 20877-1404

Mailing address

15886 Gaither Dr Ste B
Gaithersburg, MD 20877-1404
Phone (822) 814-6862

Other identifiers 1

IdentifierTypeStateIssuer
D0046457OtherMDSTATE LICENSE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120207000590 DC Practitioner - Psychiatry 4789841412 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD30686DCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Montgomery, Inc. CurrentSince Feb 15, 2017 Accepting new patients
Cornerstone Montgomery, Inc. CurrentSince Feb 15, 2017 Accepting new patients
Hagerstown Recovery LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Western Maryland Health Care Corporation Past Accepting new patients

Locations

6040 Southport Dr
Bethesda, MD 20814
Phone 3014934200228

2 Taft Ct
Ste 200
Rockville, MD 20850
Phone (301) 715-3673

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1740320134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15886 GAITHER DR STE B",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771404",
            "telephone_number": "822-814-6862",
            "fax_number": "240-241-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15886 GAITHER DR STE B",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771404",
            "telephone_number": "822-814-6862",
            "fax_number": "240-241-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARVEEN",
        "first_name": "MARIUM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DC",
            "license": "MD30686",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0046457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "D0046457",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.