NPIMap

Individual provider Active NPI

Attan Kasid, MD

  • Internal Medicine Physician
  • Gaithersburg, MD
National Provider Identifier
1740362599
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D55054 Issued in MD
Practice address
604 S Frederick Ave Ste 409
Gaithersburg, MD 20877-1284
Phone
(301) 990-8800
Fax
(301) 990-0032
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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 D55054 MD Primary

Addresses

Primary practice location

604 S Frederick Ave Ste 409
Gaithersburg, MD 20877-1284

Mailing address

7212 Dubuque Court
Rockville, MD 20855
Phone (301) 990-8800

Other identifiers 1

IdentifierTypeStateIssuer
236504900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101005000840 DC Practitioner - Internal Medicine 6709078009 Reassigns benefits to 2 organizations
I20160215001034 MD Practitioner - Internal Medicine 6709078009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Georgetown University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Phone (301) 754-7000

201 Russell Ave
Gaithersburg, MD 20877-2800
Phone (301) 557-2110

604 S Frederick Ave
Suite 409
Gaithersburg, MD 20877-1284
Phone (301) 990-8800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Attan Kasid MD PC Internal Medicine CurrentSince Dec 6, 1999 Accepting new patients
Professional Services of Holy Cross CurrentSince Feb 27, 2024 Accepting new patients
Professional Services of Holy Cross CurrentSince Feb 27, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

604 S Frederick Ave
Ste 409
Gaithersburg, MD 20877
Phone (301) 990-8800

201 Russell Ave
Gaithersburg, MD 20877
Phone (301) 216-4157

3001 Hospital Dr
Hyattsville, MD 20785
Phone (301) 618-2000

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

Interoperability endpoints

  • Direct secure messaging: akasid2623896@direct.trinity-health.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/FDEEBA/Endpoint/FDEEBA

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1740362599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7212 DUBUQUE COURT",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20855",
            "telephone_number": "301-990-8800",
            "fax_number": "301-990-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S FREDERICK AVE STE 409",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771284",
            "telephone_number": "301-990-8800",
            "fax_number": "301-990-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASID",
        "first_name": "ATTAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D55054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "236504900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.