| Closeknit | |
|
15245 Shady Grove Rd Ste 150 Rockville MD 20850-7210 | |
| (301) 869-9776 | |
| (301) 216-2592 |
| Full Name | Closeknit |
|---|---|
| Speciality | Internal Medicine |
| Location | 15245 Shady Grove Rd Ste 150, Rockville, Maryland |
| Authorized Official Name and Position | Konstantin Khludenev (PARTNER) |
| Authorized Official Contact | 3018699776 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Closeknit 15245 Shady Grove Rd Ste 340 Rockville MD 20850-7201 Ph: (301) 869-9776 | Closeknit 15245 Shady Grove Rd Ste 150 Rockville MD 20850-7210 Ph: (301) 869-9776 |
| NPI Number | 1831492586 |
|---|---|
| Provider Enumeration Date | 12/17/2010 |
| Last Update Date | 07/29/2026 |
| Certification Date | 07/29/2026 |
| Medicare PECOS PAC ID | 5092991984 |
|---|---|
| Medicare Enrollment ID | O20110510000453 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831492586 | NPI | - | NPPES |
| Provider Name | Sirisha Sastry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255453601 PECOS PAC ID: 2365337284 Enrollment ID: I20040219000370 |
| Provider Name | Dionne G Lynch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316021587 PECOS PAC ID: 5698661643 Enrollment ID: I20040226000170 |
| Provider Name | Sharon Henry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164646014 PECOS PAC ID: 5395632806 Enrollment ID: I20040301000477 |
| Provider Name | Sara a Vazer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962452045 PECOS PAC ID: 3072594910 Enrollment ID: I20040526001629 |
| Provider Name | Mindi E Cohen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104811553 PECOS PAC ID: 6800876756 Enrollment ID: I20040722000241 |
| Provider Name | Konstantin a Khludenev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538154075 PECOS PAC ID: 2668451725 Enrollment ID: I20040924000238 |
| Provider Name | Roscoe Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205984382 PECOS PAC ID: 7618986969 Enrollment ID: I20060413000399 |
| Provider Name | Denise Wallis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386733863 PECOS PAC ID: 5092717637 Enrollment ID: I20070209000430 |
| Provider Name | Beverly D Gregory |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871585091 PECOS PAC ID: 4880794981 Enrollment ID: I20070706000112 |
| Provider Name | Priscilla Goldie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164579348 PECOS PAC ID: 9931296878 Enrollment ID: I20071024000641 |
| Provider Name | Elizabeth Swan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528097854 PECOS PAC ID: 5092899435 Enrollment ID: I20080225000487 |
| Provider Name | Balnath Bhandary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154415057 PECOS PAC ID: 0941384861 Enrollment ID: I20080229000530 |
| Provider Name | Madan Bangalore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174798193 PECOS PAC ID: 5698843894 Enrollment ID: I20081001000075 |
| Provider Name | Eugene Miknowski |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1457329567 PECOS PAC ID: 7012085194 Enrollment ID: I20081002000121 |
| Provider Name | Lynn C Mays |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700857828 PECOS PAC ID: 6103982863 Enrollment ID: I20090304000372 |
| Provider Name | Colleen M Sanders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306005426 PECOS PAC ID: 9931276730 Enrollment ID: I20090305000032 |
| Provider Name | Roxana Diba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366602658 PECOS PAC ID: 0749338002 Enrollment ID: I20090427000220 |
| Provider Name | Janice E Hodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003803446 PECOS PAC ID: 4385795111 Enrollment ID: I20090707000588 |
| Provider Name | Raafat a Shabti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659574010 PECOS PAC ID: 0547237158 Enrollment ID: I20090730000231 |
| Provider Name | Darcy J Hansen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346243417 PECOS PAC ID: 7719033489 Enrollment ID: I20090922000182 |
| Provider Name | Antonina Y Kolesnikova |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1598932592 PECOS PAC ID: 1254472251 Enrollment ID: I20100113000530 |
| Provider Name | Archana Shetty |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821091240 PECOS PAC ID: 4284769720 Enrollment ID: I20100323000071 |
| Provider Name | Natallia S Shotashvili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376726422 PECOS PAC ID: 5597880856 Enrollment ID: I20100910000381 |
| Provider Name | Elliot Aleskow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154334340 PECOS PAC ID: 8224224779 Enrollment ID: I20101123000152 |
| Provider Name | Justin Thomas Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518286970 PECOS PAC ID: 9133318108 Enrollment ID: I20110106000044 |
| Provider Name | Marylynn Y Gonsalves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871539064 PECOS PAC ID: 6204821846 Enrollment ID: I20110314000993 |
| Provider Name | Charles Ihechukwuturu Okorie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831146786 PECOS PAC ID: 0941477657 Enrollment ID: I20121115000378 |
| Provider Name | Sippora Lehrhaupt |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720262009 PECOS PAC ID: 6103077284 Enrollment ID: I20121120000039 |
| Provider Name | Sheida S Hamidi Chaikin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174885701 PECOS PAC ID: 9032361910 Enrollment ID: I20121129000353 |
| Provider Name | Sacari Thomas Mohamed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598955494 PECOS PAC ID: 6800984006 Enrollment ID: I20130311000421 |
| Provider Name | Randi M Kodroff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831155373 PECOS PAC ID: 9133141989 Enrollment ID: I20130628000016 |
| Provider Name | Megha Mendiratta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184985418 PECOS PAC ID: 1951545359 Enrollment ID: I20130925000787 |
| Provider Name | Caitlin T Bray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659713865 PECOS PAC ID: 4981838695 Enrollment ID: I20131014000698 |
| Provider Name | Ghulam Abbas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427379049 PECOS PAC ID: 5395970701 Enrollment ID: I20131021000090 |
| Provider Name | Irene Jaffe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629073432 PECOS PAC ID: 9537150230 Enrollment ID: I20140118000029 |
| Provider Name | Lydwine Merelus |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295794675 PECOS PAC ID: 4284612656 Enrollment ID: I20140328001835 |
| Provider Name | Uzoamaka Nwokorie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326342130 PECOS PAC ID: 6608009527 Enrollment ID: I20140430001265 |
| Provider Name | Olufemi O Otubanjo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336450220 PECOS PAC ID: 3971729062 Enrollment ID: I20140808002072 |
| Provider Name | Khanh K Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992740146 PECOS PAC ID: 2567681885 Enrollment ID: I20140919000283 |
| Provider Name | Melissa R Barksdale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174927461 PECOS PAC ID: 5890018105 Enrollment ID: I20141219000718 |
| Provider Name | Vivek Vasudevan Nair |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801824065 PECOS PAC ID: 2961542600 Enrollment ID: I20150210000236 |
| Provider Name | Kathleen Mccray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679553739 PECOS PAC ID: 8022004639 Enrollment ID: I20150327002349 |
| Provider Name | Toby Karyadi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013170422 PECOS PAC ID: 0648598409 Enrollment ID: I20150408000956 |
| Provider Name | Bahiyyih Clarke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457648818 PECOS PAC ID: 7719206416 Enrollment ID: I20150430001816 |
| Provider Name | Elizabeth L Oconnor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629040498 PECOS PAC ID: 7719926591 Enrollment ID: I20150924000933 |
| Provider Name | Connie K Lee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801267919 PECOS PAC ID: 8022328962 Enrollment ID: I20151105001613 |
| Provider Name | Graham T Dondlinger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316172885 PECOS PAC ID: 4981845583 Enrollment ID: I20160408001708 |
| Provider Name | Noelia Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376983825 PECOS PAC ID: 7214224062 Enrollment ID: I20160922001824 |
| Provider Name | Caitlin Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730531187 PECOS PAC ID: 0749578045 Enrollment ID: I20161019000221 |
| Provider Name | Heather Elsner Boldt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225065980 PECOS PAC ID: 6204902463 Enrollment ID: I20161020000840 |
| Provider Name | Andrew Woo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801231691 PECOS PAC ID: 8628365574 Enrollment ID: I20161221000086 |
| Provider Name | Vahe Zakaryan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114475043 PECOS PAC ID: 3375824337 Enrollment ID: I20170105000940 |
| Provider Name | Abosede Sobo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073025458 PECOS PAC ID: 9133487903 Enrollment ID: I20171228000142 |
| Provider Name | Andrea Aliaga Quijada |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720446107 PECOS PAC ID: 9638437429 Enrollment ID: I20171228000873 |
| Provider Name | Mamta S Javier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598275679 PECOS PAC ID: 3274898820 Enrollment ID: I20180531001122 |
| Provider Name | Daniel J Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871087940 PECOS PAC ID: 4789932542 Enrollment ID: I20180810000427 |
| Provider Name | Steven F Williams |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790769453 PECOS PAC ID: 9931369675 Enrollment ID: I20190619001693 |
| Provider Name | Kristin Ashby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922468743 PECOS PAC ID: 8628306883 Enrollment ID: I20190826002531 |
| Provider Name | Alisa Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922367242 PECOS PAC ID: 8628297033 Enrollment ID: I20190916000715 |
| Provider Name | David Arriola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538521539 PECOS PAC ID: 2163854167 Enrollment ID: I20191113000808 |
| Provider Name | Amy E Shivone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679866040 PECOS PAC ID: 9335379882 Enrollment ID: I20200127000760 |
| Provider Name | Ebunoluwa Esther Taylor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649626292 PECOS PAC ID: 5294028155 Enrollment ID: I20200130002312 |
| Provider Name | Ji Choi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891207668 PECOS PAC ID: 9638508047 Enrollment ID: I20200407001803 |
| Provider Name | Teresa Gomez-bramble |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306236914 PECOS PAC ID: 0941556690 Enrollment ID: I20200603002810 |
| Provider Name | Joy Chiffona Melton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558874636 PECOS PAC ID: 1355609587 Enrollment ID: I20200729000895 |
| Provider Name | Chukwuka O Ojiako |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023559168 PECOS PAC ID: 7911323738 Enrollment ID: I20200811002342 |
| Provider Name | Ann Kavitha James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770120586 PECOS PAC ID: 3072938919 Enrollment ID: I20200819003307 |
| Provider Name | Yasas Rodrigo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700180015 PECOS PAC ID: 1951624089 Enrollment ID: I20200930002908 |
| Provider Name | Jill Captain |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1942469390 PECOS PAC ID: 9234184599 Enrollment ID: I20201001000037 |
| Provider Name | Sarah Karimi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295121424 PECOS PAC ID: 5395088793 Enrollment ID: I20201029001245 |
| Provider Name | Tess Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396230926 PECOS PAC ID: 6002229283 Enrollment ID: I20210107000643 |
| Provider Name | Daniel a Mesfin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639779432 PECOS PAC ID: 3476962572 Enrollment ID: I20210430001655 |
| Provider Name | Erina Herron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083223978 PECOS PAC ID: 0648679134 Enrollment ID: I20210603002273 |
| Provider Name | Aparna Raikar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689091837 PECOS PAC ID: 1850524935 Enrollment ID: I20210716001032 |
| Provider Name | Katherine Jean Hauler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568080943 PECOS PAC ID: 7810390317 Enrollment ID: I20210721002035 |
| Provider Name | Daria Kacprzyk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811463912 PECOS PAC ID: 0648524314 Enrollment ID: I20210726001953 |
| Provider Name | Lilit Margaryan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497242143 PECOS PAC ID: 2961759865 Enrollment ID: I20210910000004 |
| Provider Name | Danh Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497250542 PECOS PAC ID: 4385990563 Enrollment ID: I20211018000493 |
| Provider Name | Kylie Anne Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689187205 PECOS PAC ID: 4183986128 Enrollment ID: I20211130000871 |
| Provider Name | Lindsay Marie Najjoum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548832298 PECOS PAC ID: 0941692586 Enrollment ID: I20220111002894 |
| Provider Name | Rinali K Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588293575 PECOS PAC ID: 7012348188 Enrollment ID: I20220113002864 |
| Provider Name | Sidrah Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073280434 PECOS PAC ID: 6002200011 Enrollment ID: I20220308000676 |
| Provider Name | Ikeshia Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710433495 PECOS PAC ID: 0244504009 Enrollment ID: I20220317001308 |
| Provider Name | Semeen Ghani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790270577 PECOS PAC ID: 1850641051 Enrollment ID: I20220322003331 |
| Provider Name | Usman Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386132231 PECOS PAC ID: 0648657148 Enrollment ID: I20220524000130 |
| Provider Name | Jacob R Neuwirth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295227015 PECOS PAC ID: 5597016287 Enrollment ID: I20220621000530 |
| Provider Name | Sona Aloyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457839383 PECOS PAC ID: 1456753516 Enrollment ID: I20220816002796 |
| Provider Name | Tara L Sadr |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366177081 PECOS PAC ID: 1850775818 Enrollment ID: I20220825001708 |
| Provider Name | Mahwish Hussain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871157495 PECOS PAC ID: 0941684765 Enrollment ID: I20220830004509 |
| Provider Name | Minerva Andre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982268645 PECOS PAC ID: 3577894112 Enrollment ID: I20220921001989 |
| Provider Name | Lyudmyla K Koury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841948817 PECOS PAC ID: 1951786151 Enrollment ID: I20220923000015 |
| Provider Name | Bailey Breeden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780308122 PECOS PAC ID: 9335517481 Enrollment ID: I20221121001019 |
| Provider Name | Jannie Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417670290 PECOS PAC ID: 5395114128 Enrollment ID: I20221219000753 |
| Provider Name | Hanh Tran Bich Vu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851062335 PECOS PAC ID: 0042680209 Enrollment ID: I20230104000661 |
| Provider Name | Sufyan M Binmahfooz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558070607 PECOS PAC ID: 2769855006 Enrollment ID: I20230307001415 |
| Provider Name | Miriam Howa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669146619 PECOS PAC ID: 7315317781 Enrollment ID: I20230419000679 |
| Provider Name | Kaila Ashli Lindo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093410540 PECOS PAC ID: 4981060787 Enrollment ID: I20230522001369 |
| Provider Name | Jennifer L Willson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639845118 PECOS PAC ID: 5395101067 Enrollment ID: I20230523000526 |
| Provider Name | Sarah Tivade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376262212 PECOS PAC ID: 5991162646 Enrollment ID: I20230612001175 |
| Provider Name | Cassandra Dearth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982199485 PECOS PAC ID: 5496005704 Enrollment ID: I20230801001993 |
| Provider Name | Miki Hwang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588183800 PECOS PAC ID: 8123386158 Enrollment ID: I20230803001197 |
| Provider Name | Rufina Ewane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194128645 PECOS PAC ID: 4981097854 Enrollment ID: I20230807000671 |
| Provider Name | Nilofar Ariasaif |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295356145 PECOS PAC ID: 4587055686 Enrollment ID: I20230810000861 |
| Provider Name | Layne M Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992483440 PECOS PAC ID: 1557724341 Enrollment ID: I20230825003548 |
| Provider Name | Samar Belaid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760979363 PECOS PAC ID: 3476800020 Enrollment ID: I20230831000890 |
| Provider Name | Iliana Neumann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508075185 PECOS PAC ID: 5496845893 Enrollment ID: I20230907001279 |
| Provider Name | Sharon Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124305040 PECOS PAC ID: 9133408768 Enrollment ID: I20230921000950 |
| Provider Name | Sonya Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164181822 PECOS PAC ID: 8123488392 Enrollment ID: I20231003000012 |
| Provider Name | Robert Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538796131 PECOS PAC ID: 8022431568 Enrollment ID: I20231010000150 |
| Provider Name | Richard Webster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568083236 PECOS PAC ID: 5991115362 Enrollment ID: I20231011003658 |
| Provider Name | Dinna Getachew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144715020 PECOS PAC ID: 1658614565 Enrollment ID: I20231019002717 |
| Provider Name | Edmund C Merife |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578188397 PECOS PAC ID: 3476970575 Enrollment ID: I20231106000063 |
| Provider Name | Rumee Gyawali |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205559077 PECOS PAC ID: 1456708544 Enrollment ID: I20231214000258 |
| Provider Name | Sonya Zhe Chang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639793763 PECOS PAC ID: 3678922978 Enrollment ID: I20231214002605 |
| Provider Name | Memuna Sulaiman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558962506 PECOS PAC ID: 2466804117 Enrollment ID: I20240117004931 |
| Provider Name | Madison Elise Gump |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033821079 PECOS PAC ID: 6406228782 Enrollment ID: I20240403001539 |
| Provider Name | Iman Gabrielle Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821875626 PECOS PAC ID: 9931547288 Enrollment ID: I20240404003513 |
| Provider Name | Jamee Alicia Searchwell |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639893746 PECOS PAC ID: 9133568686 Enrollment ID: I20240416003314 |
| Provider Name | Shantell Chulue Kargbeh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750157616 PECOS PAC ID: 4486093887 Enrollment ID: I20240418000981 |
| Provider Name | Lauren Muller |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518635143 PECOS PAC ID: 9638516396 Enrollment ID: I20240514002889 |
| Provider Name | Venuka Wickramaarachchi Mabotuwana |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952741464 PECOS PAC ID: 9032402557 Enrollment ID: I20240521000005 |
| Provider Name | Saqueita Russell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760952816 PECOS PAC ID: 4082156195 Enrollment ID: I20240604003986 |
| Provider Name | Amrita Mukherjee |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1629342613 PECOS PAC ID: 0941445266 Enrollment ID: I20240703002317 |
| Provider Name | Shumuel Ofosu-koranteng |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376267609 PECOS PAC ID: 4183168701 Enrollment ID: I20240705003132 |
| Provider Name | Tyrone Omar Nieves-martinez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639924830 PECOS PAC ID: 0547706467 Enrollment ID: I20240726001500 |
| Provider Name | Rubina Prajapati |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811681547 PECOS PAC ID: 9537605399 Enrollment ID: I20240729002590 |
| Provider Name | Danny Bao Hoang Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386273480 PECOS PAC ID: 0840695573 Enrollment ID: I20240805001651 |
| Provider Name | Matilda Che |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205184538 PECOS PAC ID: 7315480399 Enrollment ID: I20240827001742 |
| Provider Name | Rohan Moffatt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780850917 PECOS PAC ID: 4284804782 Enrollment ID: I20240829000316 |
| Provider Name | Cuiqiong Du |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366120149 PECOS PAC ID: 7113361114 Enrollment ID: I20240902000040 |
| Provider Name | Elizabeth Knudsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104466853 PECOS PAC ID: 6800227182 Enrollment ID: I20240909004709 |
| Provider Name | Kaylene Larissa Millard |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477815017 PECOS PAC ID: 4183880081 Enrollment ID: I20240918003589 |
| Provider Name | Amy Nwankwo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467981167 PECOS PAC ID: 6002187176 Enrollment ID: I20241004003188 |
| Provider Name | Alvia Sabahat |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699707851 PECOS PAC ID: 2365480860 Enrollment ID: I20241014002134 |
| Provider Name | Tiffany Gillion |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184293888 PECOS PAC ID: 0042604050 Enrollment ID: I20241021004175 |
| Provider Name | Michael Lockman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982001590 PECOS PAC ID: 7911439443 Enrollment ID: I20241022001589 |
| Provider Name | Timira Taylor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528818549 PECOS PAC ID: 6204369002 Enrollment ID: I20241101000023 |
| Provider Name | Sweta Rana |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043082613 PECOS PAC ID: 5890229298 Enrollment ID: I20241107002152 |
| Provider Name | Chiso Enwezor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093344459 PECOS PAC ID: 3678979317 Enrollment ID: I20241120003950 |
| Provider Name | Lauren Sigmon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538925904 PECOS PAC ID: 8527504836 Enrollment ID: I20241217003860 |
| Provider Name | Gregory Dennis Hollis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174308126 PECOS PAC ID: 2961932967 Enrollment ID: I20250205003876 |
| Provider Name | Rosie Yang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033797295 PECOS PAC ID: 1254861206 Enrollment ID: I20250206001730 |
| Provider Name | Nancy Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922776558 PECOS PAC ID: 9739537952 Enrollment ID: I20250210001338 |
| Provider Name | Soledad Soto Ferrufino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447926480 PECOS PAC ID: 7012447485 Enrollment ID: I20250214000287 |
| Provider Name | Mary Forch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992343099 PECOS PAC ID: 0648623553 Enrollment ID: I20250224000160 |
| Provider Name | Gisele Arrey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962908483 PECOS PAC ID: 9537417829 Enrollment ID: I20250407000100 |
| Provider Name | Mallory Aviva Feldmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700687969 PECOS PAC ID: 0840717476 Enrollment ID: I20250507002642 |
| Provider Name | Victoria Panjikidze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932908696 PECOS PAC ID: 9032633433 Enrollment ID: I20250604001063 |
| Provider Name | Xinye Tanvir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275295651 PECOS PAC ID: 3476940941 Enrollment ID: I20250620001950 |
| Provider Name | Nicole Stelling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750010740 PECOS PAC ID: 6204204696 Enrollment ID: I20250630001179 |
| Provider Name | Elizabeth Greksouk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144744400 PECOS PAC ID: 9830464890 Enrollment ID: I20250716000593 |
| Provider Name | Gabriela Siegel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518499730 PECOS PAC ID: 3274802988 Enrollment ID: I20250731004270 |
| Provider Name | Maggie Noday |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659731164 PECOS PAC ID: 7113381344 Enrollment ID: I20250819005176 |
| Provider Name | Shevel Santanya Dacosta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881336477 PECOS PAC ID: 4587164041 Enrollment ID: I20250820003607 |
| Provider Name | Eyoel Yohannes Fantaye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083356190 PECOS PAC ID: 2769982420 Enrollment ID: I20250826002994 |
| Provider Name | Juhee Bong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386533487 PECOS PAC ID: 4183126832 Enrollment ID: I20250903003401 |
| Provider Name | Nwando Ekezie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356086755 PECOS PAC ID: 8224417530 Enrollment ID: I20251010003128 |
| Provider Name | Andrea Carolina Florez Marino |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003126160 PECOS PAC ID: 8527555184 Enrollment ID: I20251016001928 |
| Provider Name | Farnaz Sadr |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730821554 PECOS PAC ID: 2365930393 Enrollment ID: I20251022001825 |
| Provider Name | Kristen a Soltis-tyler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811963036 PECOS PAC ID: 6204170160 Enrollment ID: I20251023000212 |
| Provider Name | Lisa Nicholas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972390755 PECOS PAC ID: 3072010727 Enrollment ID: I20251110000075 |
| Provider Name | Doreen Addison |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104512144 PECOS PAC ID: 8123464583 Enrollment ID: I20251111000837 |
| Provider Name | Simone Ellis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710365531 PECOS PAC ID: 4486967478 Enrollment ID: I20251118001782 |
| Provider Name | Aman S Octain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902546955 PECOS PAC ID: 5597250860 Enrollment ID: I20251223004303 |
| Provider Name | Kathryn Albayrak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598085847 PECOS PAC ID: 1254555808 Enrollment ID: I20260106003966 |
| Provider Name | Rebecca Gorsak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346920972 PECOS PAC ID: 4789031212 Enrollment ID: I20260126001461 |
| Provider Name | Alyse Poll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598135089 PECOS PAC ID: 8921309287 Enrollment ID: I20260225000628 |
| Provider Name | Esan Odell Simon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841276433 PECOS PAC ID: 6709367758 Enrollment ID: I20260226003988 |
| Provider Name | Alexa Victoria Chavera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669332292 PECOS PAC ID: 2668955592 Enrollment ID: I20260310001600 |
| Provider Name | Annelice Zambrana Estrada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255226627 PECOS PAC ID: 2163991662 Enrollment ID: I20260518003297 |
Ellie Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11140 Rockville Pike Ste 602, Rockville, MD 20852 Phone: 301-591-6830 Fax: 347-588-8845 |
Expressive Therapy Center, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14808 Physicians Ln Ste 111, Rockville, MD 20850 Phone: 301-838-4112 Fax: 301-838-0623 |
Garcia Therapy Services, LLC Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1 Research Ct Ste 450, Rockville, MD 20850 Phone: 800-790-8081 Fax: 800-790-8081 |
Wellspring Bridge Healthcare LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1451 Rockville Pike Ste 250, Rockville, MD 20852 Phone: 301-640-5288 |
Neurobehavioral Health Services, LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14804 Physicians Ln Ste 122, Rockville, MD 20850 Phone: 227-250-5330 |
Outpatient Alcohol Counseling and Education Services Corp. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 416 Hungerford Dr, 209, Rockville, MD 20850 Phone: 301-762-1383 Fax: 301-762-2048 |