Active NPI
Eran Kessous, M.D.
- Sports Medicine (Family Medicine) Physician
- Silver Spring, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- D0066523
- Practice address
- 11120 New Hampshire Ave
Suite 411
Silver Spring, MD 20904-2633 - Phone
- (301) 754-0505
- Fax
- (301) 754-0509
- NPI assigned
- Jun 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | D0066523 | MD | Primary |
Addresses
Primary practice location
11120 New Hampshire Ave
Suite 411
Silver Spring, MD 20904-2633
Mailing address
11120 New Hampshire Ave
Suite 411
Silver Spring, MD 20904-2633
Phone (301) 754-0505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11120 New Hampshire Ave
Suite 411
Silver Spring, MD 20904-2620
Phone (301) 754-0505
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0066523 | MD | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Eran Kessous MD PC | Sports Medicine | Current | Accepting new patients |
| Centers for Advanced Orthopaedics, LLC | Current | Accepting new patients | |
| Cedar Health Ventures, LLC | Past | Accepting new patients | |
| Boston University Family Medicine, Inc. | Past | Accepting new patients | |
| Montgomery Sports Medicine Center | Sports Medicine | Past | Accepting new patients |
| Eran Kessous MD PC | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Eran Kessous MD PC | Past | Accepting new patients | |
| Eran Kessous MD PC | Past | Accepting new patients | |
| Eran Kessous MD PC | Past | Accepting new patients |
Locations
6931 Arlington Rd
Ste 550
Bethesda, MD 20814
Phone (301) 754-0505
800 S Frederick Ave
Ste 110
Gaithersburg, MD 20877
Phone (301) 208-2273
3414 Olandwood Ct
Olney, MD 20832
Phone (301) 774-0500
11120 New Hampshire Ave
Ste 411
Silver Spring, MD 20904
Phone (301) 754-0505
11120 New Hampshire Ave
Silver Spring, MD 20904
Phone (301) 593-9612
Interoperability endpoints
- https://api.platform.athenahealth.com/15259/brand/7/csg/1/fhir/r4
- eran.kessous.1@15259.direct.athenahealth.com
Organizations & group practices 13
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.
-
- Durable Medical Equipment & Medical Supplies
- Gaithersburg, MD
- NPI 1407654031
-
- Sports Medicine (Internal Medicine) Physician
- Gaithersburg, MD
- NPI 1922829712
-
- Sports Medicine (Family Medicine) Physician
- Bethesda, MD
- NPI 1043898018
-
- Orthopaedic Surgery Physician
- Chestertown, MD
- NPI 1467807305
-
- Orthopaedic Surgery Physician
- Gainesville, VA
- NPI 1063393833
-
- Emergency Medicine Physician
- Columbia, MD
- NPI 1114931417
-
- Physical Therapy Clinic/Center
- Silver Spring, MD
- NPI 1104282409
-
- Physical Therapy Clinic/Center
- Gaithersburg, MD
- NPI 1265245229
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351209600000",
"number": "1821033358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11120 NEW HAMPSHIRE AVE",
"address_2": "SUITE 411",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209042633",
"telephone_number": "301-754-0505",
"fax_number": "301-754-0509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11120 NEW HAMPSHIRE AVE",
"address_2": "SUITE 411",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209042633",
"telephone_number": "301-754-0505",
"fax_number": "301-754-0509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESSOUS",
"first_name": "ERAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-18",
"last_updated": "2012-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "MD",
"license": "D0066523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.