Individual provider Active NPI

Aparna Cynthia Nallala Anil, NP

  • Acute Care Nurse Practitioner
  • Frederick, MD
National Provider Identifier
1891307575
Registry record updated Aug 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
R217596 Issued in MD
Practice address
75 Thomas Johnson Dr Ste I
Frederick, MD 21702-4895
Phone
(301) 378-0608
NPI assigned
Aug 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X R217596 MD Primary

Addresses

Primary practice location

75 Thomas Johnson Dr Ste I
Frederick, MD 21702-4895

Mailing address

75 Thomas Johnson Dr Ste I
Frederick, MD 21702-4895

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.washingtonvascular.com/location/md/frederick

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200831003188 DC Practitioner - Nurse Practitioner 4981021391 Reassigns benefits to 2 organizations
I20200831003235 MD Practitioner - Nurse Practitioner 4981021391 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Cardiovascular Institute, LLCGroup PAC ID 7517903982, 16 clinicians

Practice addresses (Care Compare)

75 Thomas Johnson Dr
Suite I
Frederick, MD 21702-4895
Phone (301) 891-2500

Hospital & facility affiliations

  • Frederick Health Hospital Hospital, Frederick, MD, CCN 210005

Merit-based Incentive Payment System (MIPS)

Final score
89.78 of 100Reported as group
Quality
78.26
Improvement activities
40
Cost
61.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
WVS Takoma Park LLC CurrentSince Sep 6, 2024 Accepting new patients
WVS Frederick ASC LLC CurrentSince Feb 26, 2024 Accepting new patients
Washington Cardiovascular Institute LLC CurrentSince Sep 1, 2020 Accepting new patients
Washington Cardiovascular Institute LLC CurrentSince Sep 1, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

351 W Camden St
Fl 201
Baltimore, MD 21201
Phone (410) 541-7800

75 Thomas Johnson Dr
Ste I
Frederick, MD 21702
Phone (301) 378-0608

20400 Observation Dr
Ste 102
Germantown, MD 20876
Phone (301) 927-3668

9500 Medical Center Dr
Ste 450
Largo, MD 20774
Phone (301) 864-7100

6510 Kenilworth Ave
Ste 2500
Riverdale, MD 20737
Phone (301) 927-9600

7610 Carroll Ave
Ste 100
Takoma Park, MD 20912

Interoperability endpoints

  • Direct secure messaging: aparna.cynthia.nallala.anil.1@10710.direct.athenahealth.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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1598140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598140800000",
    "number": "1891307575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 THOMAS JOHNSON DR STE I",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 THOMAS JOHNSON DR STE I",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024895",
            "telephone_number": "301-378-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALLALA ANIL",
        "first_name": "APARNA CYNTHIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-23",
        "last_updated": "2020-08-23",
        "certification_date": "2020-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MD",
            "license": "R217596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.washingtonvascular.com/location/md/frederick",
            "affiliation": "N",
            "address_1": "75 Thomas Johnson Dr Ste I",
            "city": "Frederick",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217024895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.