Individual provider Active NPI

Niv Ad, M.D.

  • Specialist
  • Takoma Park, MD
National Provider Identifier
1982673364
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101246383 Issued in VA
Practice address
7901 Maple Ave
Suite a
Takoma Park, MD 20912-6331
Phone
(202) 524-4200
NPI assigned
Mar 16, 2006
Last updated
Mar 31, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0101246383 VA
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 0101246383 VA
Specialist 174400000X 0101246383 VA Primary

Addresses

Primary practice location

7901 Maple Ave
Suite a
Takoma Park, MD 20912-6331

Mailing address

7901 Maple Ave Ste a
Suite 140
Takoma Park, MD 20912-6331
Phone (202) 524-4200

Other identifiers 1

IdentifierTypeStateIssuer
010111510MedicaidVA

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
I20040922001051 DC Practitioner - Thoracic SurgeryPractitioner - Cardiac SurgeryPractitioner - Vascular Surgery 0547238974 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Faculty Associates, Inc Surgery CurrentSince Apr 7, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

2021 K St NW
Ste 408
Washington, DC 20006
Phone (202) 223-1024

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

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

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

7901 Maple Ave
Ste A
Takoma Park, MD 20912
Phone (202) 524-2400

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

Interoperability endpoints

  • Direct secure messaging: na@cvtsa.srs-direct.com

Organizations & group practices 2

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1982673364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 MAPLE AVE STE A",
            "address_2": "SUITE 140",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126331",
            "telephone_number": "202-524-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 MAPLE AVE",
            "address_2": "SUITE A",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126331",
            "telephone_number": "202-524-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AD",
        "first_name": "NIV",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101246383",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "VA",
            "license": "0101246383",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101246383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010111510",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

Verify at the official NPI Registry.