Active NPI
Ennoble HC DMV III LLC
- Geriatric Medicine (Family Medicine) Physician
- Silver Spring, MD
National Provider Identifier
1922981695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- Legal business name
- ENNOBLE HC DMV III LLC
- Practice address
- 962 Wayne Ave Ste 250
Silver Spring, MD 20910-4433 - Phone
- (240) 744-0001
- NPI assigned
- Jul 29, 2025
- Last updated
- Nov 3, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kushabhadra Das
- Title
- Ceo
- Phone
- (862) 812-9010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | NU | Primary |
Addresses
Primary practice location
962 Wayne Ave Ste 250
Silver Spring, MD 20910-4433
Mailing address
2 University PLZ Ste 204
Hackensack, NJ 07601-6211
Phone (551) 295-8223
Other practice location 1
20130 Lakeview Center Plz Ste 400
Ashburn, VA 20147-5905
Phone (700) 865-2144
Other practice location 2
50 Glenlake Pkwy Ste 420
Sandy Springs, GA 30328-3489
Phone (770) 637-1359
Other practice location 3
8115 Maple Lawn Blvd Ste 350
Fulton, MD 20759-2683
Phone (551) 295-8223
Other practice location 4
39 V St NE
Washington, DC 20002-1329
Phone (862) 812-9010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, MD, DC, GA
Enrollment records 4
National Provider Directory
National Provider DirectoryLocations
962 Wayne Ave
Ste 250
Silver Spring, MD 20910
Phone (240) 744-0001
Practitioners & affiliated clinicians
Practitioners 105
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.
-
- Family Nurse Practitioner
- Gaithersburg, MD
- NPI 1831478890
DC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762128000000",
"number": "1922981695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 UNIVERSITY PLZ STE 204",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076016211",
"telephone_number": "551-295-8223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "962 WAYNE AVE STE 250",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209104433",
"telephone_number": "240-744-0001"
}
],
"practiceLocations": [
{
"address_1": "20130 Lakeview Center Plz Ste 400",
"address_purpose": "LOCATION",
"city": "Ashburn",
"state": "VA",
"postal_code": "201475905",
"country_code": "US",
"telephone_number": "700-865-2144",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "50 Glenlake Pkwy Ste 420",
"address_purpose": "LOCATION",
"city": "Sandy Springs",
"state": "GA",
"postal_code": "303283489",
"country_code": "US",
"telephone_number": "770-637-1359",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8115 Maple Lawn Blvd Ste 350",
"address_purpose": "LOCATION",
"city": "Fulton",
"state": "MD",
"postal_code": "207592683",
"country_code": "US",
"telephone_number": "551-295-8223",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "39 V St NE",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200021329",
"country_code": "US",
"telephone_number": "862-812-9010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ENNOBLE HC DMV III LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-29",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A",
"authorized_official_last_name": "DAS",
"authorized_official_first_name": "KUSHABHADRA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "862-812-9010"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.