Individual provider Active NPI

Damira Vulas, M.D.

  • Psychiatry Physician
  • Chevy Chase, MD
National Provider Identifier
1780066621
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D85348 Issued in MD
Practice address
5454 Wisconsin Ave Ste 1275
Chevy Chase, MD 20815-6933
Phone
(240) 743-4535
NPI assigned
Jun 28, 2015
Last updated
Dec 31, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MD046326 DC
Psychiatry Physician 2084P0800X D85348 MD Primary

Addresses

Primary practice location

5454 Wisconsin Ave Ste 1275
Chevy Chase, MD 20815-6933

Mailing address

5454 Wisconsin Ave Ste 1275
Chevy Chase, MD 20815-6933
Phone (240) 743-4535

Other practice location 1

230 N Broad St
Philadelphia, PA 19102-1121
Phone (215) 831-4600

Other practice location 2

111 Michigan Ave NW
Floor P1
Washington, DC 20010-2916
Phone (202) 476-5980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 27, 2021 through Oct 27, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D85348MDMDPsychiatry Physician
MD046326DCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Mental Health Psychiatry CurrentSince Aug 1, 2021 Accepting new patients

Locations

5454 Wisconsin Ave
Ste 1275
Chevy Chase, MD 20815
Phone (240) 743-4535

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24224/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1435449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1780066621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 WISCONSIN AVE STE 1275",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156933",
            "telephone_number": "240-743-4535",
            "fax_number": "240-483-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 WISCONSIN AVE STE 1275",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156933",
            "telephone_number": "240-743-4535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191021121",
            "country_code": "US",
            "telephone_number": "215-831-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 Michigan Ave NW",
            "address_2": "Floor P1",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200102916",
            "country_code": "US",
            "telephone_number": "202-476-5980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VULAS",
        "first_name": "DAMIRA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-28",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "DC",
            "license": "MD046326",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D85348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.