NPIMap

Organization Active NPI

Capital Nephrology, PC

  • Nephrology Physician
  • Greenbelt, MD
National Provider Identifier
1780769984
Registry record updated Jul 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
CAPITAL NEPHROLOGY, PC
Practice address
7500 Greenway Center Dr
Suite 930
Greenbelt, MD 20770-3502
Phone
(301) 345-2412
Fax
(301) 345-3978
NPI assigned
Oct 26, 2006
Last updated
Jul 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2010

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

Authorized official

Name
Promod K DuggalNPI 1992708044
Title
M.D.
Phone
(301) 345-2412

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
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

7500 Greenway Center Dr
Suite 930
Greenbelt, MD 20770-3502

Mailing address

7500 Greenway Center Dr
Suite 930
Greenbelt, MD 20770-3502
Phone (301) 345-2412

Other identifiers 2

IdentifierTypeStateIssuer
409745900MedicaidMD
475321600MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051013000280 DC Part B Supplier - Clinic/Group Practice 6608891148 Receives reassigned benefits from 9 practitioners
Practice locations: Greenbelt, MD

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

7253 Hanover Pkwy
Ste B
Greenbelt, MD 20770
Phone (301) 345-2412

Practitioners & affiliated clinicians

Practitioners 11

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": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279756800000",
    "number": "1780769984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 GREENWAY CENTER DR",
            "address_2": "SUITE 930",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703502",
            "telephone_number": "301-345-2412",
            "fax_number": "301-345-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 GREENWAY CENTER DR",
            "address_2": "SUITE 930",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703502",
            "telephone_number": "301-345-2412",
            "fax_number": "301-345-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL NEPHROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2010-07-22",
        "status": "A",
        "authorized_official_last_name": "DUGGAL",
        "authorized_official_first_name": "PROMOD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "301-345-2412"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409745900",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "475321600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.