Individual provider Active NPI

Gina E Dapul-Hidalgo, M.D.

  • Allergy & Immunology Physician
  • Rockville, MD
National Provider Identifier
1952592818
Registry record updated Jul 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
D0073813 Issued in MD
Practice address
15200 Shady Grove Rd Ste 400
Rockville, MD 20850-6256
Phone
(240) 243-6115
NPI assigned
Aug 6, 2007
Last updated
Jul 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 0101261462 VA
Allergy & Immunology Physician 207K00000X D73813 MD
Allergy & Immunology Physician 207K00000X D0073813 MD Primary

Addresses

Primary practice location

15200 Shady Grove Rd Ste 400
Rockville, MD 20850-6256

Mailing address

P.O. Box 34066
Bethesda, MD 20827
Phone (240) 243-6115

Other identifiers 3

IdentifierTypeStateIssuer
1952592818MedicaidVA
4691024-00MedicaidMD
826726OtherMDMEDICARE PTAN

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130226000569 DC Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 1658526579 Reassigns benefits to 2 organizations
I20170127000863 MD Practitioner - Allergy/Immunology 1658526579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15200 Shady Grove Rd
Suite 400
Rockville, MD 20850-6256
Phone (301) 850-4468

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D73813MDMDAllergy & Immunology Physician
0101261462VAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Allergy & Immunology CurrentSince Dec 23, 2016 Accepting new patients
South Atlanta Pulmonary & Critical Care Associates Current Accepting new patients
Family Center for Allergy and Asthma LLC Allergy & Immunology CurrentSince Jun 1, 2023 Accepting new patients
Privia Medical Group, LLC CurrentSince Dec 23, 2016 Accepting new patients
Allergy Partners, PLLC Allergy & Immunology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

9015 Woodyard Rd
Ste 209A
Clinton, MD 20735
Phone (301) 868-3478

9015 Shady Grove Ct
Gaithersburg, MD 20877
Phone (301) 850-4468

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

15200 Shady Grove Rd
Rockville, MD 20850
Phone (301) 926-4408

15200 Shady Grove Rd
Ste 400
Rockville, MD 20850
Phone (301) 738-0053

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

950 N Glebe Rd
Ste 4000
Arlington, VA 22203
Phone (301) 593-9011

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720051200000",
    "number": "1952592818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 34066",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "20827",
            "telephone_number": "240-243-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 SHADY GROVE RD STE 400",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506256",
            "telephone_number": "240-243-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAPUL-HIDALGO",
        "first_name": "GINA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2024-07-04",
        "certification_date": "2024-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "VA",
            "license": "0101261462",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MD",
            "license": "D73813",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MD",
            "license": "D0073813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952592818",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4691024-00",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "826726",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.