Active NPI
Amjad Mian Rasul, M.D.
- Cardiovascular Disease Physician
- Washington, DC
National Provider Identifier
1841284213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD12149
- Practice address
- 1160 Varnum St., N.E.
#114
Washington, DC 20017-2110 - Phone
- (202) 526-8966
- Fax
- (202) 526-6025
- NPI assigned
- Aug 31, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | D0025802 | MD | |
| Cardiovascular Disease Physician | 207RC0000X | MD12149 | DC | Primary |
Addresses
Primary practice location
1160 Varnum St., N.E.
#114
Washington, DC 20017-2110
Mailing address
17770 Chipping CT
Olney, MD 20832-1626
Phone (301) 570-7813
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024635600 | Medicaid | DC | |
| 25272 | Other | MAMSI | |
| 357561600 | Medicaid | MD | |
| 146992001 | Other | UNITED HEALTH CARE | |
| 471514 | Other | AETNA HMO | |
| 3082912 | Other | CIGNA | |
| 521467413 | Other | MULTIPLAN | |
| 9476 | Other | DC | BCBS |
| 110125682 | Other | MEDICARE RR | |
| 1863236 | Other | FIRST HEALTH PPO | |
| 495350 | Other | NCPPO | |
| 4088591 | Other | AETNA | |
| 41964107 | Other | MD | BCBS |
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
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1160 Varnum St NE
Suite 114
Washington, DC 20017-2110
Phone (202) 526-8966
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0025802 | MD | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amjad M. Rasul, M.D., P.a. | Cardiovascular Disease | Current | Accepting new patients |
| Parvez Khatri MD PC | Past | Accepting new patients |
Locations
1160 Varnum St NE
Ste 114
Washington, DC 20017
Phone (202) 449-9634
Organizations & group practices 2
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.
-
- Cardiovascular Disease Physician
- Washington, DC
- NPI 1396062915
-
- Nephrology Physician
- Washington, DC
- NPI 1427384767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273449600000",
"number": "1841284213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17770 CHIPPING CT",
"city": "OLNEY",
"state": "MD",
"postal_code": "208321626",
"telephone_number": "301-570-7813",
"fax_number": "202-526-6025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 VARNUM ST., N.E.",
"address_2": "#114",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200172110",
"telephone_number": "202-526-8966",
"fax_number": "202-526-6025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASUL",
"first_name": "AMJAD",
"middle_name": "MIAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2010-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MD",
"license": "D0025802",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "DC",
"license": "MD12149",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "024635600",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "25272",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "357561600",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "146992001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "471514",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3082912",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "521467413",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "9476",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR",
"identifier": "110125682",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH PPO",
"identifier": "1863236",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "495350",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4088591",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "41964107",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; 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.