Individual provider Active NPI

Enoh Edet Akpandak, MD

  • Family Medicine Physician
  • Gaithersburg, MD
National Provider Identifier
1992805964
Registry record updated Dec 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD0061946 Issued in MD
Practice address
610 Professional Dr
Suite 235
Gaithersburg, MD 20879-3413
Phone
(301) 740-9055
Fax
(301) 740-9056
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD0061946 MD Primary

Addresses

Primary practice location

610 Professional Dr
Suite 235
Gaithersburg, MD 20879-3413

Mailing address

610 Professional Dr
Suite 235
Gaithersburg, MD 20879-3413
Phone (301) 740-9055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, OR, MD3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20050930000306 DC Practitioner - Family Practice 9739114471 Reassigns benefits to 1 organization
I20201026002252 OR Practitioner - Family Practice 9739114471 Reassigns benefits to 1 organization
I20210106001179 MD Practitioner - Family Practice 9739114471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Howard University College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstar Urgent Care LLC 300 clinicians
Suburban/NRH Medical Rehabilitation Inc 885 clinicians

Practice addresses (Care Compare)

11915 Georgia Ave
Wheaton, MD 20902-2065
Phone (301) 942-4505

12111 Darnestown Rd
Gaithersburg, MD 20878-3211
Phone (301) 926-3095

12220 Rockville Pike
Rockville, MD 20852-1608
Phone (301) 881-0103

18045 Georgia Ave
Olney, MD 20832-2237
Phone (301) 774-8026

1805 Columbia Rd NW
Washington, DC 20009-2001
Phone (202) 797-4960

19777 Frederick Rd
Germantown, MD 20876-1307
Phone (240) 388-9314

20 University Blvd E
Silver Spring, MD 20901-2436
Phone (240) 863-2720

201 Shorebird St
Suite B
Frederick, MD 21701-1962
Phone (240) 422-8112

3064 Waldorf Market PL
Waldorf, MD 20603-4871
Phone (301) 932-5960

350 Fortune Ter
Suite D
Potomac, MD 20854-2910
Phone (443) 584-5323

4507 Stanford St
Bethesda, MD 20815-5205
Phone (443) 302-9258

6401 America Blvd
Hyattsville, MD 20782-2357
Phone (301) 276-8800

6410 Rockledge Dr
Bethesda, MD 20817-1844

882 Muddy Branch Rd
Gaithersburg, MD 20878-2780
Phone (301) 216-1245

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD0061946MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Urgent Care LLC CurrentSince Jul 30, 2023 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jun 22, 2020 Accepting new patients
Medstar Urgent Care, LLC CurrentSince Jul 30, 2023 Accepting new patients
Medstar Urgent Care LLC Current Accepting new patients
Medstar Urgent Care LLC CurrentSince Jul 30, 2023 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Family Medicine CurrentSince Jun 22, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Family Medical & Rehab Center Family Medicine PastSince Jan 1, 1990 Accepting new patients

Locations

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

Organizations & group practices 10

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228694400000",
    "number": "1992805964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 PROFESSIONAL DR",
            "address_2": "SUITE 235",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793413",
            "telephone_number": "301-740-9055",
            "fax_number": "301-740-9056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 PROFESSIONAL DR",
            "address_2": "SUITE 235",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793413",
            "telephone_number": "301-740-9055",
            "fax_number": "301-740-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKPANDAK",
        "first_name": "ENOH",
        "middle_name": "EDET",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "MD0061946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

Verify at the official NPI Registry.