Active NPI
Intensive Care Associates LLC
- Critical Care Medicine (Internal Medicine) Physician
- Germantown, MD
National Provider Identifier
1831598580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- Legal business name
- INTENSIVE CARE ASSOCIATES LLC
- Practice address
- 19801 Observation Dr
Germantown, MD 20876-4070 - Phone
- (410) 768-8899
- Fax
- (240) 331-0458
- NPI assigned
- Aug 19, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Natesa P Shanmugam, M.D.
- Title
- Director
- Phone
- (202) 468-3303
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | Primary |
Addresses
Primary practice location
19801 Observation Dr
Germantown, MD 20876-4070
Mailing address
12204 Seline Way
Potomac, MD 20854-2872
Phone (410) 768-8899
National Provider Directory
National Provider DirectoryLocations
19801 Observation Dr
Ste Icu
Germantown, MD 20876
Phone (410) 768-8899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408406400000",
"number": "1831598580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12204 SELINE WAY",
"city": "POTOMAC",
"state": "MD",
"postal_code": "208542872",
"telephone_number": "410-768-8899",
"fax_number": "240-331-0458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19801 OBSERVATION DR",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208764070",
"telephone_number": "410-768-8899",
"fax_number": "240-331-0458"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTENSIVE CARE ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-19",
"last_updated": "2014-08-19",
"status": "A",
"authorized_official_last_name": "SHANMUGAM",
"authorized_official_first_name": "NATESA",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "202-468-3303",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.