Individual provider Active NPI

Louis Nicholas Pangaro, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Washington, DC
National Provider Identifier
1992899694
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
D0017261 Issued in MD
Practice address
Walter Reed Army Medical Center
6900 Georgia Ave
Washington, DC 20307-5001
Phone
(202) 782-4923
Fax
(202) 782-7363
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X D0017261 MD Primary

Addresses

Primary practice location

Walter Reed Army Medical Center
6900 Georgia Ave
Washington, DC 20307-5001

Mailing address

9606 Carriage Road
Kensington, MD 20895
Phone (202) 782-4923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20170208000568 MD Order and Referring Only - EndocrinologyPractitioner - Endocrinology 1355522509

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1992899694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9606 CARRIAGE ROAD",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "20895",
            "telephone_number": "202-782-4923",
            "fax_number": "202-782-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WALTER REED ARMY MEDICAL CENTER",
            "address_2": "6900 GEORGIA AVE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "203075001",
            "telephone_number": "202-782-4923",
            "fax_number": "202-782-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANGARO",
        "first_name": "LOUIS",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MD",
            "license": "D0017261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.