Tatevik Mikaelyan

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

C05503 Issued in MD

Practice address

8305 Wisconsin Ave
Bethesda, MD 20814-3103

Phone

(301) 800-7000

NPI assigned

Sep 8, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GAHGCD

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.

• Privia Medical Group, LLC

  • Internal Medicine Physician
  • Arlington, VA
  • NPI 1013042480

  DC

  Medicare reassignment NPD
• Capital Healthcare PC

  • Primary Care Clinic/Center
  • Alexandria, VA
  • NPI 1811239627

  DC

  Medicare reassignment
• Capitol Cardiology Associates, LLC

  • Cardiovascular Disease Physician
  • Lanham, MD
  • NPI 1609855733
  NPD
• Privia Medical Group, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Rockville, MD
  • NPI 1811715436
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1881095925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8305 WISCONSIN AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143103",
            "telephone_number": "301-800-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8305 WISCONSIN AVE",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143103",
            "telephone_number": "301-800-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7600 Carroll Ave",
            "address_purpose": "LOCATION",
            "city": "Takoma Park",
            "state": "MD",
            "postal_code": "209126367",
            "country_code": "US",
            "telephone_number": "301-891-7600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Forest Glen Rd",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209101460",
            "country_code": "US",
            "telephone_number": "301-754-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIKAELYAN",
        "first_name": "TATEVIK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C05503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Ryan Michienzi, DO
• Marc Steven Micozzi, MD, PHD
• Mid-Atlantic Epilepsy & Sleep Center LLC
• Stephen Anthony Migueles, MD
• Joao Rocky Miji
• Cecilia Mikita, MD, MPH
• Jeffrey Alan Mikita, MD
• Ashley Miknis
• Anne Fetcher Milam, PA
• Rachel Jean Milam, MD

• Medical Physician Assistant in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Medical Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.