MONTGOMERY CARDIOLOGY, LLC – NPI #1790785616
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

MONTGOMERY CARDIOLOGY, LLC is a provider located in ROCKVILLE, MD. NPPES has assigned the NPI number 1790785616 to MONTGOMERY CARDIOLOGY, LLC on July 21, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 4 years ago on Jul 21, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MONTGOMERY CARDIOLOGY, LLC below.

NPI Profile for
MONTGOMERY CARDIOLOGY, LLC

NPI Number
1790785616
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MONTGOMERY CARDIOLOGY, LLC
Primary location
10110 MOLECULAR DR STE 200
ROCKVILLE, MD 20850
Phone: (301) 610-4000 Fax: (301) 610-4007
Mailing address
12013 GREAT ELM DR
POTOMAC, MD 20854-1227
Phone: (301) 610-4000 Fax: (301) 610-4000
Organization Subpart
No
Authorized Official
SAMEER SOFAT
CEO
Phone: (301) 610-4000
Updated
Certification Date
Oct 06, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MONTGOMERY CARDIOLOGY, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMD4036638 00
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
MD

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.