Individual provider Active NPI

Ingrid Gheen, MD

  • Physical Medicine & Rehabilitation Physician
  • Rockville, MD
National Provider Identifier
1780629097
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
D0023432 Issued in MD
Practice address
11600 Magruder LN
Rockville, MD 20852-4366
Phone
(301) 652-6612
Fax
(301) 816-9174
NPI assigned
Jun 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X D0023432 MD Primary

Addresses

Primary practice location

11600 Magruder LN
Rockville, MD 20852-4366

Mailing address

11600 Magruder LN
Rockville, MD 20852-4366
Phone (301) 652-6612

Other identifiers 3

IdentifierTypeStateIssuer
230070OtherMAMSI
03523125OtherBCBS-ANTHEM
4106OtherBCBC-NCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0023432MDMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ravi Passi MD PC Past Accepting new patients
Potomac Valley Orthopedic Assoc, Chartered Physical Medicine & Rehabilitation Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192406400000",
    "number": "1780629097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11600 MAGRUDER LN",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524366",
            "telephone_number": "301-652-6612",
            "fax_number": "301-816-9174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 MAGRUDER LN",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524366",
            "telephone_number": "301-652-6612",
            "fax_number": "301-816-9174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHEEN",
        "first_name": "INGRID",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2007-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MD",
            "license": "D0023432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "230070",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-ANTHEM",
            "identifier": "03523125",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBC-NCA",
            "identifier": "4106",
            "state": null
        }
    ],
    "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 Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.