Active NPI
Shanan Ray Immel, MD
- Infectious Disease Physician
- Washington, DC
National Provider Identifier
1881221315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- D0107186
- Practice address
- 5255 Loughboro Rd NW
Washington, DC 20016-2633 - Phone
- (202) 537-4686
- NPI assigned
- Mar 25, 2020
- Last updated
- Aug 4, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | MD210011686 | DC | |
| Infectious Disease Physician | 207RI0200X | D0107186 | MD | Primary |
Addresses
Primary practice location
5255 Loughboro Rd NW
Washington, DC 20016-2633
Mailing address
6201 Greenleigh Ave
Middle River, MD 21220-2004
Phone (410) 933-6423
Other practice location 1
8600 Old Georgetown Rd
Bethesda, MD 20814-1422
Phone (301) 896-2578
Other practice location 2
9000 Rockville Pike
Building 29B, Office 1D08
Bethesda, MD 20892-0001
Phone (240) 220-0650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785801600000",
"number": "1881221315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 GREENLEIGH AVE",
"city": "MIDDLE RIVER",
"state": "MD",
"postal_code": "212202004",
"telephone_number": "410-933-6423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5255 LOUGHBORO RD NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200162633",
"telephone_number": "202-537-4686"
}
],
"practiceLocations": [
{
"address_1": "8600 Old Georgetown Rd",
"address_purpose": "LOCATION",
"city": "Bethesda",
"state": "MD",
"postal_code": "208141422",
"country_code": "US",
"telephone_number": "301-896-2578",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9000 Rockville Pike",
"address_2": "Building 29B, Office 1D08",
"address_purpose": "LOCATION",
"city": "Bethesda",
"state": "MD",
"postal_code": "208920001",
"country_code": "US",
"telephone_number": "240-220-0650",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IMMEL",
"first_name": "SHANAN",
"middle_name": "RAY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-25",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "DC",
"license": "MD210011686",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "MD",
"license": "D0107186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; 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.