Organization Active NPI

Patuxent Cardiology Associates LLC

Doing business as Patuxent Cardiology Ass

  • Cardiovascular Disease Physician
  • Huntingtown, MD
National Provider Identifier
1881701175
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
PATUXENT CARDIOLOGY ASSOCIATES LLC
Doing business as
Patuxent Cardiology Ass
Practice address
2419 Solomons Island Rd
Huntingtown, MD 20639-8732
Phone
(410) 535-3612
Fax
(410) 535-3613
NPI assigned
Aug 24, 2006
Last updated
Sep 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Dr. Varkey Mathew, M.D.NPI 1245211481
Title
Owner
Phone
(410) 535-3612

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary
Nuclear Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207UN0901X

Addresses

Primary practice location

2419 Solomons Island Rd
Huntingtown, MD 20639-8732

Mailing address

2419 Solomons Island Rd
Huntingtown, MD 20639-8732
Phone (410) 535-3612

Other names 1

  • Patuxent Cardiology Ass Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071102000051 MD Part B Supplier - Clinic/Group Practice 3173610417 Receives reassigned benefits from 1 practitioner
Practice locations: Huntingtown, MD; Waldorf, MD

National Provider Directory

National Provider Directory

Locations

2419 Solomons Island Rd
Huntingtown, MD 20639
Phone (410) 535-3612

3995 Old Town Rd
Ste 101
Huntingtown, MD 20639
Phone (410) 535-3612

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20055/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1881701175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 SOLOMONS ISLAND RD",
            "city": "HUNTINGTOWN",
            "state": "MD",
            "postal_code": "206398732",
            "telephone_number": "410-535-3612",
            "fax_number": "410-535-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 SOLOMONS ISLAND RD",
            "city": "HUNTINGTOWN",
            "state": "MD",
            "postal_code": "206398732",
            "telephone_number": "410-535-3612",
            "fax_number": "410-535-3613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATUXENT CARDIOLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "VARKEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-535-3612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patuxent Cardiology Ass",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntingtown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.