NPIMap

Organization Active NPI

Montgomery Cardiology, LLC

  • Cardiovascular Disease Physician
  • Rockville, MD
National Provider Identifier
1790785616
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
MONTGOMERY CARDIOLOGY, LLC
Practice address
10110 Molecular Dr Ste 200
Rockville, MD 20850
Phone
(301) 610-4000
Fax
(301) 610-4007
NPI assigned
Jul 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Sameer Sofat, MDNPI 1083614903
Title
Ceo
Phone
(301) 610-4000

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
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X MD Primary

Addresses

Primary practice location

10110 Molecular Dr Ste 200
Rockville, MD 20850

Mailing address

12013 Great Elm Dr
Potomac, MD 20854-1227
Phone (301) 610-4000

Other identifiers 1

IdentifierTypeStateIssuer
4036638 00MedicaidMD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080910000456 DC Part B Supplier - Clinic/Group Practice 0648346916 Receives reassigned benefits from 7 practitioners
Practice locations: Rockville, MD

National Provider Directory

National Provider Directory

Member organizations 1

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

Locations

10110 Molecular Dr
Ste 200
Rockville, MD 20850
Phone (301) 610-4000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CGGDCD

Practitioners & affiliated clinicians

Practitioners 9

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": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790785616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12013 GREAT ELM DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208541227",
            "telephone_number": "301-610-4000",
            "fax_number": "301-610-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 MOLECULAR DR STE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20850",
            "telephone_number": "301-610-4000",
            "fax_number": "301-610-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY CARDIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2022-07-21",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "SOFAT",
        "authorized_official_first_name": "SAMEER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-610-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4036638 00",
            "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 Jul 21, 2022; 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.