Center for Interventional Medicine, LLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

CENTER FOR INTERVENTIONAL MEDICINE, LLC

Practice address

251 National Harbor Blvd Ste 104
Oxon Hill, MD 20745-1052

Phone

(866) 800-2346

NPI assigned

Mar 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Meghal R Antani, MDNPI 1215927900

Title

President

Phone

(866) 800-2346

Specialties & licenses 1

Addresses

Other names 1

• VidaVascular Doing business as

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Enrollment records 2

Tax ID family

Center for Interventional Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Center of Interventional Medicine LLC

  • Vascular & Interventional Radiology Physician
  • White Plains, MD
  • NPI 1043171747
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18691/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Meghal R Antani, MD

  • Diagnostic Radiology Physician
  • Oxon Hill, MD
  • NPI 1215927900

  DC, Vascular & Interventional Radiology

  Medicare reassignment NPD Authorized official
• Marijo Cosmas, MS, RN, AOCN, CRNP

  • Acute Care Nurse Practitioner
  • Prince Frederick, MD
  • NPI 1235126178
  NPD (past)

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1760653448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 NATIONAL HARBOR BLVD STE 104",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207451052",
            "telephone_number": "866-800-2346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 NATIONAL HARBOR BLVD STE 104",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207451052",
            "telephone_number": "866-800-2346"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4255 Altamont Pl Ste 101",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "MD",
            "postal_code": "206953066",
            "country_code": "US",
            "telephone_number": "866-800-2346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6120 Brandon Ave Ste 216",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "221502504",
            "country_code": "US",
            "telephone_number": "866-800-2346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTER FOR INTERVENTIONAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "ANTANI",
        "authorized_official_first_name": "MEGHAL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-800-2346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VidaVascular",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Vascular & Interventional Radiology Physician in Oxon Hill, MD
• Providers in Oxon Hill, MD by specialty
• Vascular & Interventional Radiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.