Individual provider Active NPI

Frank Moscarillo, M.D.

  • Psychiatry Physician
  • Chevy Chase, MD
National Provider Identifier
1932278488
Registry record updated Apr 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0033653 Issued in MD
Practice address
5454 Wisconsin Avenue
Suite 1220
Chevy Chase, MD 20815-6901
Phone
(301) 951-7220
Fax
(301) 299-4918
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D0033653 MD Primary

Addresses

Primary practice location

5454 Wisconsin Avenue
Suite 1220
Chevy Chase, MD 20815-6901

Mailing address

5454 Wisconsin Avenue
Suite 1220
Chevy Chase, MD 20815-6901
Phone (301) 951-7220

Other identifiers 1

IdentifierTypeStateIssuer
173650OtherMDPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100722000015 DC Practitioner - Psychiatry 0840322103 Practice locations: Chevy Chase, MD; Washington, DC

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Georgetown University School of Medicine, 1961
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5255 Loughboro Rd
Washington, DC 20016-2696
Phone (240) 687-4766

5454 Wisconsin Ave
Suite 1220
Chevy Chase, MD 20815-6901

5530 Wisconsin Ave
Suite 670
Chevy Chase, MD 20815-4463
Phone (301) 951-7220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0033653MDMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428624000000",
    "number": "1932278488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 WISCONSIN AVENUE",
            "address_2": "SUITE 1220",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156901",
            "telephone_number": "301-951-7220",
            "fax_number": "301-299-4918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 WISCONSIN AVENUE",
            "address_2": "SUITE 1220",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208156901",
            "telephone_number": "301-951-7220",
            "fax_number": "301-299-4918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSCARILLO",
        "first_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2015-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0033653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "173650",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

Verify at the official NPI Registry.