Organization Active NPI

Cardiovascular Specialists of Germantown LLC

  • Cardiovascular Disease Physician
  • Frederick, MD
National Provider Identifier
1992101356
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D69671 Issued in MD
Legal business name
CARDIOVASCULAR SPECIALISTS OF GERMANTOWN LLC
Practice address
97 Thomas Johnson Dr Ste 100
Frederick, MD 21702-4379
Phone
(240) 494-6884
Fax
(844) 819-1869
NPI assigned
Nov 13, 2014
Last updated
Feb 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Authorized official

Name
Sara Mekonnen Mekuria, MDNPI 1861650111
Title
Owner
Phone
(240) 815-6644

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
Cardiovascular Disease Physician 207RC0000X D69671 MD Primary

Addresses

Primary practice location

97 Thomas Johnson Dr Ste 100
Frederick, MD 21702-4379

Mailing address

97 Thomas Johnson Dr Ste 100
Frederick, MD 21702-4379
Phone (240) 494-6884

Other identifiers 1

IdentifierTypeStateIssuer
1861650111OtherTYPE 1, NPI

Other names 1

  • Cardiovascular Specialists of Germantown LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170613000653 MD Part B Supplier - Clinic/Group Practice 9931426616 Receives reassigned benefits from 1 practitioner
Practice locations: Frederick, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1992101356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 THOMAS JOHNSON DR STE 100",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024379",
            "telephone_number": "240-494-6884",
            "fax_number": "844-819-1869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 THOMAS JOHNSON DR STE 100",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024379",
            "telephone_number": "240-494-6884",
            "fax_number": "844-819-1869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR SPECIALISTS OF GERMANTOWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-13",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "MEKURIA",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "MEKONNEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-815-6644",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D69671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1, NPI",
            "identifier": "1861650111",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardiovascular Specialists of Germantown LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.

Verify at the official NPI Registry.