NPIMap

Organization Active NPI

Cardiovascular Specialists of Frederick, LLC

  • Specialist
  • Frederick, MD
National Provider Identifier
1922034461
Registry record updated Oct 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CARDIOVASCULAR SPECIALISTS OF FREDERICK, LLC
Practice address
180 Thomas Johnson Dr
202
Frederick, MD 21702-4409
Phone
(301) 631-6877
Fax
(301) 631-5211
NPI assigned
Jun 25, 2006
Last updated
Oct 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2026

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

Authorized official

Name
Debbie K Klauka
Title
Practice Administrator
Phone
(301) 631-6877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

180 Thomas Johnson Dr
202
Frederick, MD 21702-4409

Mailing address

180 Thomas Johnson Dr Ste 202
Frederick, MD 21702-4550
Phone (301) 631-6877

Other identifiers 1

IdentifierTypeStateIssuer
217101500MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nirmal.shah.p18@direct.csof.nextgenshare.com Health Information Exchange (HIE) CARDIOVASCULAR SPECIALISTS OF FREDERICK, LLC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050222000655 MD Part B Supplier - Clinic/Group Practice 4082667761 Receives reassigned benefits from 15 practitioners
Practice locations: Frederick, MD

National Provider Directory

National Provider Directory

Locations

184 Thomas Johnson Dr
Ste 204
Frederick, MD 21702
Phone (301) 620-7144

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1922034461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 THOMAS JOHNSON DR STE 202",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024550",
            "telephone_number": "301-631-6877",
            "fax_number": "301-631-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 THOMAS JOHNSON DR",
            "address_2": "202",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024409",
            "telephone_number": "301-631-6877",
            "fax_number": "301-631-5211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR SPECIALISTS OF FREDERICK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A",
        "authorized_official_last_name": "KLAUKA",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "301-631-6877"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217101500",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nirmal.shah.p18@direct.csof.nextgenshare.com",
            "affiliation": "Y",
            "endpointDescription": "Direct Messaging Address",
            "affiliationName": "CARDIOVASCULAR SPECIALISTS OF FREDERICK, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "180 Thomas Johnson Dr",
            "address_2": "202",
            "city": "Frederick",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217024409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; 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.