Active NPI
Capital Vascular and Interventional Radiology Specialists
- Vascular & Interventional Radiology Physician
- Bowie, MD
National Provider Identifier
1962129791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- Legal business name
- CAPITAL VASCULAR AND INTERVENTIONAL RADIOLOGY SPECIALISTS
- Doing business as
- Capital Vascular and Interventional
- Practice address
- 4201 Mitchellville Rd Ste 101
Bowie, MD 20716-3161 - Phone
- (301) 979-9716
- NPI assigned
- Oct 24, 2022
- 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
- Dr. David A Amadu, MD
- Title
- Member
- Phone
- (301) 979-6716
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | Primary |
Addresses
Primary practice location
4201 Mitchellville Rd Ste 101
Bowie, MD 20716-3161
Mailing address
1865 E Queens CT
Crofton, MD 21114-2626
Phone (914) 539-6860
Other practice location 1
4201 Mitchellville Rd Ste 101
Bowie, MD 20716-3161
Phone (301) 979-9716
Other names 1
- Capital Vascular and Interventional
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4201 Mitchellville Rd
Ste 101
Bowie, MD 20716
Phone (301) 979-9716
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1666569600000",
"number": "1962129791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1865 E QUEENS CT",
"city": "CROFTON",
"state": "MD",
"postal_code": "211142626",
"telephone_number": "914-539-6860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 MITCHELLVILLE RD STE 101",
"city": "BOWIE",
"state": "MD",
"postal_code": "207163161",
"telephone_number": "301-979-9716"
}
],
"practiceLocations": [
{
"address_1": "4201 Mitchellville Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Bowie",
"state": "MD",
"postal_code": "207163161",
"country_code": "US",
"telephone_number": "301-979-9716",
"fax_number": "301-979-9720",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CAPITAL VASCULAR AND INTERVENTIONAL RADIOLOGY SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-24",
"last_updated": "2022-10-24",
"certification_date": "2022-10-22",
"status": "A",
"authorized_official_last_name": "AMADU",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "301-979-6716",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0204X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Capital Vascular and Interventional",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bowie, MD
- Capital Eye Physicians & Surgeons, LLC
- Capital Orthopaedic Specialists LLC
- Capital Orthopaedic Specialists LLC
- Capital Speech and Language Therapy Center, LLC
- Capital Surgery Center LLC
- Capital Womens Care LLC
- Capitol Cardiology Associates, LLC
- Capitol Discovery Services, Inc.
- Cardiology Associate, LLC
- Cardiology Associates, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.