Organization Active NPI

Kshama Garg

  • Internal Medicine Physician
  • Potomac, MD
National Provider Identifier
1841744737
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0060826 Issued in MD
Legal business name
KSHAMA GARG
Practice address
13332 Deerbrook Dr
Potomac, MD 20854-6367
Phone
(240) 644-4042
Fax
(301) 337-6259
NPI assigned
Aug 8, 2016
Last updated
Aug 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Authorized official

Name
Dr. Kshama Garg, M.D.NPI 1295806511
Title
President
Phone
(240) 644-4042

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
Internal Medicine Physician 207R00000X D0060826 MD Primary

Addresses

Primary practice location

13332 Deerbrook Dr
Potomac, MD 20854-6367

Mailing address

13332 Deerbrook Dr
Potomac, MD 20854-6367
Phone (240) 644-4042

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161013001548 DC Part B Supplier - Clinic/Group Practice 0749578383 Receives reassigned benefits from 1 practitioner
Practice locations: Gaithersburg, MD

National Provider Directory

National Provider Directory

Locations

111 Continental Dr
Ste 102
Newark, DE 19713
Phone (302) 545-1777

16075 Comprint Cir
Gaithersburg, MD 20877
Phone (240) 499-8566

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1841744737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13332 DEERBROOK DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208546367",
            "telephone_number": "240-644-4042",
            "fax_number": "301-337-6259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13332 DEERBROOK DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208546367",
            "telephone_number": "240-644-4042",
            "fax_number": "301-337-6259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSHAMA GARG",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-08",
        "last_updated": "2016-08-17",
        "status": "A",
        "authorized_official_last_name": "GARG",
        "authorized_official_first_name": "KSHAMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-644-4042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0060826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.