Individual provider Active NPI

Diane Audrey Laurin, MD

  • Obstetrics & Gynecology Physician
  • Rockville, MD
National Provider Identifier
1942284617
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D0057376 Issued in MD
Practice address
9420 Key West Ave
Suite 415
Rockville, MD 20850-3334
Phone
(301) 279-9400
Fax
(301) 279-0313
NPI assigned
Dec 5, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X D0057376 MD Primary

Addresses

Primary practice location

9420 Key West Ave
Suite 415
Rockville, MD 20850-3334

Mailing address

8110 Maple Lawn Blvd Ste 235
Fulton, MD 20759-2694
Phone (301) 340-8339

Other practice location 1

12800 Middlebrook Rd Ste 333
Germantown, MD 20874-5287
Phone (301) 279-9400

Other identifiers 1

IdentifierTypeStateIssuer
973006100MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address diane.laurin.p1@direct.cwcare.nextgenshare.com Direct

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
I20100615000061 DC Practitioner - Obstetrics/Gynecology 0244360402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Human Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Womens Care LLCGroup PAC ID 4880582741, 281 clinicians

Practice addresses (Care Compare)

10215 Fernwood Rd
Suite 101
Bethesda, MD 20817-1183
Phone (301) 530-2235

9711 Medical Ctr Dr
Suite 320
Rockville, MD 20850-3386
Phone (301) 330-5401

Merit-based Incentive Payment System (MIPS)

Final score
43.1 of 100Reported as group
Quality
7.9
Improvement activities
40
Cost
79.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0057376MDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Women'S Care, L.L.C. Obstetrics & Gynecology CurrentSince Jul 23, 2001 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Adventist Healthcare, Inc. Past Accepting new patients

Locations

10215 Fernwood Rd
Ste 101
Bethesda, MD 20817
Phone (301) 530-2235

8110 Maple Lawn Blvd
Ste 235
Fulton, MD 20759

12800 Middlebrook Rd
Ste 333
Germantown, MD 20874
Phone (301) 279-9400

9711 Medical Center Dr
Ste 109
Rockville, MD 20850
Phone (301) 762-5501

9711 Medical Center Dr
Ste 320
Rockville, MD 20850
Phone (301) 330-5401

Interoperability endpoints

  • Direct secure messaging: diane.laurin.d1.p1@direct.cwcare.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1942284617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 MAPLE LAWN BLVD STE 235",
            "city": "FULTON",
            "state": "MD",
            "postal_code": "207592694",
            "telephone_number": "301-340-8339",
            "fax_number": "301-340-9027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9420 KEY WEST AVE",
            "address_2": "SUITE 415",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503334",
            "telephone_number": "301-279-9400",
            "fax_number": "301-279-0313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12800 Middlebrook Rd Ste 333",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "MD",
            "postal_code": "208745287",
            "country_code": "US",
            "telephone_number": "301-279-9400",
            "fax_number": "301-916-5979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAURIN",
        "first_name": "DIANE",
        "middle_name": "AUDREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0057376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "973006100",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "diane.laurin.p1@direct.cwcare.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9420 Key West Ave",
            "address_2": "Suite 415",
            "city": "Rockville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208503334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.