NPIMap

Organization Active NPI

Comprehensive Neurology Services, P.a.

  • Specialist
  • Frederick, MD
National Provider Identifier
1831353390
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
D0064266 Issued in MD
Legal business name
COMPREHENSIVE NEUROLOGY SERVICES, P.A.
Practice address
196 Thomas Johnson Dr Ste 120
Frederick, MD 21702-4521
Phone
(240) 566-3130
Fax
(240) 566-3131
NPI assigned
Jul 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Authorized official

Name
Dr. Shahid Rafiq, M.D.NPI 1447214549
Title
President
Phone
(240) 566-3130

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
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X D0064266 MD Primary

Addresses

Primary practice location

196 Thomas Johnson Dr Ste 120
Frederick, MD 21702-4521

Mailing address

196 Thomas Johnson Dr Ste 120
Frederick, MD 21702-4521
Phone (240) 566-3130

Other practice location 1

10301 Georgia Ave Ste 206
Silver Spring, MD 20902-5020
Phone (301) 363-4370

Other practice location 2

12800 Middlebrook Rd Ste 114
Germantown, MD 20874-5286
Phone (240) 702-0182

Other practice location 3

11110 Medical Campus Rd Ste 227
Hagerstown, MD 21742-6727
Phone (301) 797-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080917000298 MD Part B Supplier - Clinic/Group Practice 6103993126 Receives reassigned benefits from 23 practitioners
Practice locations: Frederick, MD; Hagerstown, MD
O20140331000652 DC Part B Supplier - Clinic/Group Practice 6103993126 Receives reassigned benefits from 7 practitioners
2 other NPIs on this enrollment
Practice locations: Germantown, MD; Silver Spring, MD

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1831353390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 THOMAS JOHNSON DR STE 120",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024521",
            "telephone_number": "240-566-3130",
            "fax_number": "240-566-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 THOMAS JOHNSON DR STE 120",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024521",
            "telephone_number": "240-566-3130",
            "fax_number": "240-566-3131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10301 Georgia Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209025020",
            "country_code": "US",
            "telephone_number": "301-363-4370",
            "fax_number": "240-566-3131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12800 Middlebrook Rd Ste 114",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208745286",
            "country_code": "US",
            "telephone_number": "240-702-0182",
            "fax_number": "240-566-3131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11110 Medical Campus Rd Ste 227",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217426727",
            "country_code": "US",
            "telephone_number": "301-797-1900",
            "fax_number": "240-566-3131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPREHENSIVE NEUROLOGY SERVICES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "RAFIQ",
        "authorized_official_first_name": "SHAHID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-566-3130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0064266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.