Individual provider Active NPI

Daryan Rei Namba, M.D.

  • Psychiatry Physician
  • Rockville, MD
National Provider Identifier
1972096071
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
D0096730 Issued in MD
Practice address
12301 Academy Way
Rockville, MD 20852
Phone
(301) 984-4444
Fax
(301) 881-8043
NPI assigned
Jun 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X LL52658 SC
Psychiatry Physician 2084P0800X D0096730 MD Primary

Addresses

Primary practice location

12301 Academy Way
Rockville, MD 20852

Mailing address

14901 Brochart Road
Suite 2200
Rockville, MD 20850
Phone (301) 251-4500

Other identifiers 1

IdentifierTypeStateIssuer
768141100MedicaidMD

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
I20230606000115 DC Practitioner - Psychiatry 8820334733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
79.78
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0096730MDMDPsychiatry Physician
LL52658SCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Physician Services, Inc. Psychiatry CurrentSince Aug 1, 2023 Accepting new patients

Locations

820 W Diamond Ave
Ste 500
Gaithersburg, MD 20878

820 W Diamond Ave
Gaithersburg, MD 20878
Phone (301) 315-3030

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

12301 Academy Way
Rockville, MD 20852
Phone (301) 984-4444

11890 Healing Way
Ste 6S
Silver Spring, MD 20904
Phone (240) 637-4000

Interoperability endpoints

  • Direct secure messaging: daryan.namba@ahm.eclinicaldirectplus.com

Organizations & group practices 1

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": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1972096071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14901 BROCHART ROAD",
            "address_2": "SUITE 2200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20850",
            "telephone_number": "301-251-4500",
            "fax_number": "803-434-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 ACADEMY WAY",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "20852",
            "telephone_number": "301-984-4444",
            "fax_number": "301-881-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAMBA",
        "first_name": "DARYAN",
        "middle_name": "REI",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "LL52658",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0096730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "768141100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.