Individual provider Active NPI

Eva Carol Pickler, M.D.

  • Obstetrics & Gynecology Physician
  • Damascus, MD
National Provider Identifier
1861461758
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D0080723 Issued in MD
Practice address
26005 Ridge Rd
Suite 200
Damascus, MD 20872-1892
Phone
(301) 414-2300
Fax
(301) 414-0476
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD36124 TN
Obstetrics & Gynecology Physician 207V00000X 0101840547 VA
Obstetrics & Gynecology Physician 207V00000X D0080723 MD Primary

Addresses

Primary practice location

26005 Ridge Rd
Suite 200
Damascus, MD 20872-1892

Mailing address

21988 Willisville Rd
Upperville, VA 20184-3124
Phone (423) 534-5919

Other identifiers 5

IdentifierTypeStateIssuer
4086863OtherTNBCBS OF TENNESSEE
3718898MedicaidTN
2547516OtherTNCIGNA
79065K7MedicaidNC
TN0105OtherTNJOHN DEERE INSURANCE CO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, VA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180510002128 DC Practitioner - Obstetrics/Gynecology 2567438765 Reassigns benefits to 1 organization
I20180510002326 MD Practitioner - Obstetrics/Gynecology 2567438765 Reassigns benefits to 2 organizations
I20231220000104 VA Practitioner - Obstetrics/Gynecology 2567438765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Boston University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Womens Care LLCGroup PAC ID 4880582741, 281 clinicians

Practice addresses (Care Compare)

61 Thomas Johnson Dr
Frederick, MD 21702-4301
Phone (301) 663-6171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD36124TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fauquier Physician Practices LLC Obstetrics & Gynecology CurrentSince Dec 7, 2023 Accepting new patients
Capital Women'S Care, L.L.C. Obstetrics & Gynecology CurrentSince Mar 1, 2024 Accepting new patients
Capital Women'S Care, L.L.C. Obstetrics & Gynecology Current Accepting new patients
Simmonds, Martin & Helmbrecht, LLC Obstetrics & Gynecology CurrentSince Jun 9, 2018 Accepting new patients
Optimal Health for Women, M.PLLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

26005 Ridge Rd
Ste 200
Damascus, MD 20872
Phone (301) 414-0120

61 Thomas Johnson Dr
Frederick, MD 21702
Phone (301) 663-6171

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

77 Thomas Johnson Dr
Ste H
Frederick, MD 21702
Phone (301) 620-7144

19735 Germantown Rd
Ste 270
Germantown, MD 20874
Phone (301) 444-8350

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

550 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5940

500 Hospital Dr
Warrenton, VA 20186
Phone (540) 316-5000

Interoperability endpoints

  • Direct secure messaging: eva.pickler.p1@direct.cwcare.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1861461758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21988 WILLISVILLE RD",
            "city": "UPPERVILLE",
            "state": "VA",
            "postal_code": "201843124",
            "telephone_number": "423-534-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26005 RIDGE RD",
            "address_2": "SUITE 200",
            "city": "DAMASCUS",
            "state": "MD",
            "postal_code": "208721892",
            "telephone_number": "301-414-2300",
            "fax_number": "301-414-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKLER",
        "first_name": "EVA",
        "middle_name": "CAROL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "MD36124",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101840547",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0080723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TENNESSEE",
            "identifier": "4086863",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3718898",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2547516",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "79065K7",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE INSURANCE CO",
            "identifier": "TN0105",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Damascus, MD

Sources for this page

Verify at the official NPI Registry.