Organization Active NPI

Montgomery Family Medicine Associates PC

  • Family Medicine Physician
  • Silver Spring, MD
National Provider Identifier
1972604023
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MONTGOMERY FAMILY MEDICINE ASSOCIATES PC
Practice address
2415 Musgrove Rd
#105
Silver Spring, MD 20904-5200
Phone
(301) 989-0193
Fax
(301) 879-2325
NPI assigned
Sep 25, 2006
Last updated
Mar 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Authorized official

Name
Dr. Rosie K Singh, M.D.NPI 1376644013
Title
Practice Owner
Phone
(301) 989-0193

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2415 Musgrove Rd
#105
Silver Spring, MD 20904-5200

Mailing address

2415 Musgrove Rd
#105
Silver Spring, MD 20904-5200
Phone (301) 989-0193

Other names 1

  • Montgomery Family Medicine Associates,PC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040930000114 DC Part B Supplier - Clinic/Group Practice 8820067408 Receives reassigned benefits from 15 practitioners
Practice locations: Silver Spring, MD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
21D0943265Montgomery Family Medicine Associates2415 Musgrove Road Ste 105, Silver Spring, MD 20904Provider-performed microscopyMar 23, 2028

National Provider Directory

National Provider Directory

Locations

2415 Musgrove Rd
Ste 105
Silver Spring, MD 20904
Phone (301) 989-0193

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585267200000",
    "number": "1972604023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 MUSGROVE RD",
            "address_2": "#105",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209045200",
            "telephone_number": "301-989-0193",
            "fax_number": "301-879-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 MUSGROVE RD",
            "address_2": "#105",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209045200",
            "telephone_number": "301-989-0193",
            "fax_number": "301-879-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY FAMILY MEDICINE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "ROSIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "301-989-0193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montgomery Family Medicine Associates,PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.