Organization Active NPI

Petek Donmez, MD, P.C.

  • Internal Medicine Physician
  • Rockville, MD
National Provider Identifier
1770810491
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0062999 Issued in MD
Legal business name
PETEK DONMEZ, MD, P.C.
Practice address
11125 Rockville Pike Ste 308
Rockville, MD 20852-3142
Phone
(301) 230-1895
Fax
(301) 230-1897
NPI assigned
Nov 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Authorized official

Name
Dr. Petek Donmez, M.D.NPI 1609953116
Title
President
Phone
(301) 742-9328

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X D0062999 MD Primary

Addresses

Primary practice location

11125 Rockville Pike Ste 308
Rockville, MD 20852-3142

Mailing address

11613 Toulone Dr
Potomac, MD 20854-3146
Phone (301) 742-9328

Other identifiers 1

IdentifierTypeStateIssuer
017820900MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100215000538 DC Part B Supplier - Clinic/Group Practice 8820132863 Receives reassigned benefits from 1 practitioner
Practice locations: Rockville, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1770810491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11613 TOULONE DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208543146",
            "telephone_number": "301-742-9328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11125 ROCKVILLE PIKE STE 308",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523142",
            "telephone_number": "301-230-1895",
            "fax_number": "301-230-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETEK DONMEZ, MD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-17",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "DONMEZ",
        "authorized_official_first_name": "PETEK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-742-9328",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0062999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017820900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jan 24, 2025; 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.