Shamima Abbas, MD – Internal Medicine Physician

Key facts

NPI: 1750445896
Entity type: Individual (NPI type 1)
Primary specialty: Internal Medicine Physician 207R00000X
License: D45296 (MD)
Practice address: 10810 Connecticut Avenue
Kensington, MD 20895-2138
Phone: (301) 929-7507
Fax: (301) 929-7114
NPI assigned: Dec 21, 2006
Sex: Female
Sole proprietor: No

Organizations & group practices 4

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.

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Health Maintenance Organization · Annapolis, MD · NPI 1952461816

Medicare reassignment NPD DC · INTERNAL MEDICINE
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Rockville, MD · NPI 1962108753

NPD
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc Health Maintenance Organization · MC Lean, VA · NPI 1376815472

NPD
Frederick Health Hospital Inc General Acute Care Hospital · Frederick, MD · NPI 1538165527

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Enrolled in DC
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20091222000617	DC	Practitioner - Internal Medicine	0446390488	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

Practice roles

Organization	Specialty	Status	New patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc		Current since Feb 3, 1997	Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc		Current since Feb 3, 1997	Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc	Internal Medicine	Current	Accepting new patients
Frederick Health Hospital Inc		Past	Accepting new patients

Locations

10810 Connecticut Ave
Kensington, MD 20895
Phone (301) 929-7100

2101 E Jefferson St
#4
Rockville, MD 20852

2101 E Jefferson St
Unit 6W
Rockville, MD 20852

1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Internal Medicine Physician	207R00000X	MD20888	DC
Internal Medicine Physician	207R00000X	D45296	MD	Yes

Addresses

Primary practice location

10810 Connecticut Avenue
Kensington, MD 20895-2138

Mailing address

2101 East Jefferson Street
Ppqa Medicare Compliance Unit 6W Attn Theresa Brooks
Rockville, MD 20852-4908
Phone (301) 816-6660

Electronic endpoints

Type	Endpoint	Use	Affiliation
SOAP URL	https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq	Health Information Exchange (HIE)

Other providers in Kensington, MD

All providers in Kensington, MD · Internal Medicine Physician in Maryland

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.