Individual provider Active NPI

Shabir Dard, M.D.

  • Family Medicine Physician
  • Silver Spring, MD
National Provider Identifier
1861621211
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0075059 Issued in MD
Practice address
2415 Musgrove Rd
#105
Silver Spring, MD 20904-5202
Phone
(301) 989-0193
Fax
(301) 879-2325
NPI assigned
Jul 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 003727 GA
Family Medicine Physician 207Q00000X D0075059 MD Primary

Addresses

Primary practice location

2415 Musgrove Rd
#105
Silver Spring, MD 20904-5202

Mailing address

2415 Musgrove Rd
Suite 105
Silver Spring, MD 20904-5202
Phone (301) 989-0193

Other identifiers 1

IdentifierTypeStateIssuer
1861621211OtherMDNPI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200908000931 DC Order and Referring Only - Geriatric MedicinePractitioner - Geriatric Medicine 2264670298

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003727GAMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: shabir.dard.p52@direct.tenet.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1861621211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 MUSGROVE RD",
            "address_2": "SUITE 105",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209045202",
            "telephone_number": "301-989-0193",
            "fax_number": "301-879-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 MUSGROVE RD",
            "address_2": "#105",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209045202",
            "telephone_number": "301-989-0193",
            "fax_number": "301-879-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARD",
        "first_name": "SHABIR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-07",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "003727",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0075059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1861621211",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.