Mikhail Gendel Family Practice, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DOO52322 Issued in MD

Legal business name

MIKHAIL GENDEL FAMILY PRACTICE, LLC

Practice address

16220 Frederick Rd
Suite 200
Gaithersburg, MD 20877-4039

Phone

(301) 519-2650

Fax

(301) 519-2653

NPI assigned

Jul 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mikhail Gendel, MDNPI 1235178344

Title

Physician

Phone

(301) 519-2650

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Mikhail Gendel, M.D.

  • Adult Medicine Physician
  • Gaithersburg, MD
  • NPI 1235178344

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322092800000",
    "number": "1861419715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16220 FREDERICK RD",
            "address_2": "SUITE 200",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208774039",
            "telephone_number": "301-519-2650",
            "fax_number": "301-519-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16220 FREDERICK RD",
            "address_2": "SUITE 200",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208774039",
            "telephone_number": "301-519-2650",
            "fax_number": "301-519-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKHAIL GENDEL FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2011-11-24",
        "status": "A",
        "authorized_official_last_name": "GENDEL",
        "authorized_official_first_name": "MIKHAIL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "301-519-2650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "DOO52322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Lawrence Michetti, DPM
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• Adrian Ionut Mihalache
• Lauretta Beatrice Miles, LCSWC LICENSED CERTI
• Jessica Mileski
• Gabriela Miller, O.D.
• Heidi Miller
• Karlene Miller, LMSW

• Family Medicine Physician in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.