Organization Active NPI

M Rita Ghosh MD PC

  • Internal Medicine Physician
  • Rockville, MD
National Provider Identifier
1770593238
Registry record updated May 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D30132 Issued in MD
Legal business name
M RITA GHOSH MD PC
Practice address
15200 Shady Grove Rd Ste 400
Rockville, MD 20850-6256
Phone
(301) 738-0053
Fax
(301) 738-1058
NPI assigned
Aug 8, 2006
Last updated
May 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2020

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

Authorized official

Name
Mrs. Mahashweta Rita Ghosh, MDNPI 1356521173
Title
Owner
Phone
(301) 738-0053

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D30132 MD Primary

Addresses

Primary practice location

15200 Shady Grove Rd Ste 400
Rockville, MD 20850-6256

Mailing address

15200 Shady Grove Rd Ste 400
Rockville, MD 20850-6256
Phone (301) 738-0053

Other names 1

  • Rita Ghosh MD Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050707000903 DC Part B Supplier - Clinic/Group Practice 1850337163 Receives reassigned benefits from 1 practitioner
Practice locations: Rockville, MD

National Provider Directory

National Provider Directory

Locations

15200 Shady Grove Rd
Ste 400
Rockville, MD 20850
Phone (301) 738-0053

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1770593238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15200 SHADY GROVE RD STE 400",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506256",
            "telephone_number": "301-738-0053",
            "fax_number": "301-738-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 SHADY GROVE RD STE 400",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506256",
            "telephone_number": "301-738-0053",
            "fax_number": "301-738-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M RITA GHOSH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "GHOSH",
        "authorized_official_first_name": "MAHASHWETA",
        "authorized_official_middle_name": "RITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-738-0053",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D30132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rita Ghosh MD",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rita Ghosh MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.