Individual provider Active NPI

Andrei Gursky, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Takoma Park, MD
National Provider Identifier
1790753515
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
0101257444 Issued in VA
Practice address
7610 Carroll Ave Ste 100
Takoma Park, MD 20912-6311
Phone
(301) 891-2500
Fax
(301) 448-1679
NPI assigned
Mar 9, 2006
Last updated
Feb 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician 2083P0011X 2010000739 MO
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 0101257444 VA Primary

Addresses

Primary practice location

7610 Carroll Ave Ste 100
Takoma Park, MD 20912-6311

Mailing address

7610 Carroll Ave Ste 100
Takoma Park, MD 20912-6311
Phone (301) 891-2500

Other identifiers 2

IdentifierTypeStateIssuer
1790753515MedicaidMO
042495833MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, MD3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150216001120 VA Practitioner - Cardiac SurgeryPractitioner - Thoracic SurgeryPractitioner - General Surgery 0648211177 Reassigns benefits to 1 organization
I20150224001140 DC Practitioner - Thoracic SurgeryPractitioner - General Surgery 0648211177 Reassigns benefits to 2 organizations
I20200130000158 MD Practitioner - Thoracic Surgery 0648211177 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: General Surgery
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2812 Old Lee Hwy
Suite 100B
Fairfax, VA 22031-4315
Phone (703) 596-3800

75 Thomas Johnson Dr
Suite I
Frederick, MD 21702-4895
Phone (301) 891-2500

7610 Carroll Ave
Suite 100
Takoma Park, MD 20912-6311
Phone (301) 891-2500

Merit-based Incentive Payment System (MIPS)

Final score
89.78 of 100Reported as group
Quality
78.26
Improvement activities
40
Cost
61.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal31
Leg revascularization (restoring blood flow)507

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101257444VAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Cardiovascular Institute LLC CurrentSince Jan 1, 2020 Accepting new patients
Washington Cardiovascular Institute LLC CurrentSince Jan 1, 2020 Accepting new patients
WVS Takoma Park LLC CurrentSince Sep 6, 2024 Accepting new patients
WVS Frederick ASC LLC CurrentSince Feb 26, 2024 Accepting new patients
Center for Vein Restoration MD LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Nov 13, 2019 Accepting new patients
Center for Vein Restoration MD LLC CurrentSince Nov 13, 2019 Accepting new patients
USA Vein Clinics of Chantilly LLC PastSince Jan 22, 2025 Accepting new patients
Mercy Clinic Joplin LLC Past Accepting new patients
Heart and Vascular Care, P. C. Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients

Locations

351 W Camden St
Fl 201
Baltimore, MD 21201
Phone (410) 541-7800

75 Thomas Johnson Dr
Ste I
Frederick, MD 21702
Phone (301) 378-0608

7610 Carroll Ave
Ste 100
Takoma Park, MD 20912

Interoperability endpoints

  • Direct secure messaging: andrei.gursky.1@10710.direct.athenahealth.com
  • Direct secure messaging: andrei.gursky.2@10710.direct.athenahealth.com
  • Direct secure messaging: andrei.gursky.3@10710.direct.athenahealth.com
  • Direct secure messaging: andrei.gursky.4@10710.direct.athenahealth.com
  • Direct secure messaging: andrei.gurskymd.p3@direct.cvr.nextgenshare.com

Organizations & group practices 10

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1790753515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7610 CARROLL AVE STE 100",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126311",
            "telephone_number": "301-891-2500",
            "fax_number": "301-448-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7610 CARROLL AVE STE 100",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126311",
            "telephone_number": "301-891-2500",
            "fax_number": "301-448-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURSKY",
        "first_name": "ANDREI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0011X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
            "state": "MO",
            "license": "2010000739",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "VA",
            "license": "0101257444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790753515",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042495833",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

Verify at the official NPI Registry.