Organization Active NPI

Intensive Care Associates LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Germantown, MD
National Provider Identifier
1831598580
Registry record updated Aug 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
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

Updated by the provider on Aug 19, 2014

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)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.