Promod K Duggal, M.D.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

D33942 Issued in MD

Practice address

7500 Greenway Center Dr
Suite 930
Greenbelt, MD 20770-3502

Phone

(301) 345-2412

Fax

(301) 345-3978

NPI assigned

May 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in DC, VI2 enrollments

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 2

Specialty

NephrologyAlso: Internal Medicine

Education

Johns Hopkins University School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capital Nephrology, PCGroup PAC ID 6608891148, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DaVita Rock Creek Dialysis Dialysis facility, Rockville, MD, CCN 212678
• DaVita Silver Spring Dialysis Dialysis facility, Silver Spring, MD, CCN 212593

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Capital Nephrology, PC

  • Nephrology Physician
  • Greenbelt, MD
  • NPI 1780769984

  DC, Nephrology

  Medicare reassignment Care Compare group NPD Authorized official
• Governor Juan F. Luis Hospital & Medical Center

  • General Acute Care Hospital
  • Christiansted, St. Croix, VI
  • NPI 1972503647

  VI

  Medicare reassignment NPD
• Governor Juan F. Luis Hospital & Medical Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • St Croix, VI
  • NPI 1740238534
  NPD
• Bedell Dialysis, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Silver Spring, MD
  • NPI 1841667789
  NPD (past)
• Centurion Vascular Care LLC

  • Vascular & Interventional Radiology Physician
  • Lanham, MD
  • NPI 1386200525
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Brownwood Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Rockville, MD
  • NPI 1578815452

  Dialysis facility

  Care Compare affiliation Name & address match
• Dva Healthcare of Maryland LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Silver Spring, MD
  • NPI 1629038252

  Dialysis facility

  Care Compare affiliation Name & address match

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1992708044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 GREENWAY CENTER DR",
            "address_2": "SUITE 930",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703502",
            "telephone_number": "301-345-2412",
            "fax_number": "301-345-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 GREENWAY CENTER DR",
            "address_2": "SUITE 930",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703502",
            "telephone_number": "301-345-2412",
            "fax_number": "301-345-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGGAL",
        "first_name": "PROMOD",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MD",
            "license": "D33942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "475321600",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "409745900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• DRS Falik & Karim PA
• DRS Moshyedi & Mostaghim MD PA
• Duane Sibilly
• Luat Dang Duckett, M.D.
• Wobga Duga
• Aparna Duggirala, D.P.M.
• Kirk Allen Duncan, PSYD
• Jennifer Dunson, LBSW
• Kristchen During
• Dayna Elizabeth Durrant

• Nephrology Physician in Greenbelt, MD
• Providers in Greenbelt, MD by specialty
• Nephrology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.