| Comprehensive Primary Care And Associates Llc | |
|
15825 Shady Grove Rd Suite 140 Rockville MD 20850 | |
| (301) 869-9776 | |
| (301) 216-2592 |
| Full Name | Comprehensive Primary Care And Associates Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 15825 Shady Grove Rd, 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 |
|---|---|
| Comprehensive Primary Care And Associates Llc 15825 Shady Grove Road Suite 140 Rockville MD 20850-4008 Ph: (301) 869-9776 | Comprehensive Primary Care And Associates Llc 15825 Shady Grove Rd Suite 140 Rockville MD 20850 Ph: (301) 869-9776 |
| NPI Number | 1831492586 |
|---|---|
| Provider Enumeration Date | 12/17/2010 |
| Last Update Date | 02/12/2024 |
| 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 | Mindi E Cohen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104811553 PECOS PAC ID: 6800876756 Enrollment ID: I20040722000241 |
| Provider Name | Elvira Pasmanik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316945652 PECOS PAC ID: 7315927019 Enrollment ID: I20040722001304 |
| Provider Name | Konstantin A Khludenev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538154075 PECOS PAC ID: 2668451725 Enrollment ID: I20040924000238 |
| 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 | Janice E Hodge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003803446 PECOS PAC ID: 4385795111 Enrollment ID: I20090707000588 |
| 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 | 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 | Marylynn Y Gonsalves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871539064 PECOS PAC ID: 6204821846 Enrollment ID: I20110314000993 |
| Provider Name | Diane C Darcy |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1336449420 PECOS PAC ID: 5395921290 Enrollment ID: I20110510000634 |
| Provider Name | Charles W Karesh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497881619 PECOS PAC ID: 1850579053 Enrollment ID: I20110616000551 |
| 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 | Khanh K Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992740146 PECOS PAC ID: 2567681885 Enrollment ID: I20140919000283 |
| Provider Name | Toby Karyadi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013170422 PECOS PAC ID: 0648598409 Enrollment ID: I20150408000956 |
| Provider Name | Caitlin Cunningham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730531187 PECOS PAC ID: 0749578045 Enrollment ID: I20161019000221 |
| Provider Name | Mamta S Javier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598275679 PECOS PAC ID: 3274898820 Enrollment ID: I20180531001122 |
| Provider Name | Roza Liss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235362781 PECOS PAC ID: 9335485523 Enrollment ID: I20190109000553 |
| Provider Name | Alisha Tuteja |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114373107 PECOS PAC ID: 1355629510 Enrollment ID: I20190813000120 |
| 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 | Amanda Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699364638 PECOS PAC ID: 0446650733 Enrollment ID: I20210608001209 |
| Provider Name | Sujeeta Poudel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669148979 PECOS PAC ID: 0840689360 Enrollment ID: I20211123001582 |
| 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 | Jacob R Neuwirth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295227015 PECOS PAC ID: 5597016287 Enrollment ID: I20220621000530 |
| Provider Name | Mahwish Hussain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871157495 PECOS PAC ID: 0941684765 Enrollment ID: I20220830004509 |
| Provider Name | Lyudmyla K Koury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841948817 PECOS PAC ID: 1951786151 Enrollment ID: I20220923000015 |
| Provider Name | Jannie Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417670290 PECOS PAC ID: 5395114128 Enrollment ID: I20221219000753 |
| Provider Name | Mary Hoang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083913479 PECOS PAC ID: 4385964402 Enrollment ID: I20230426000156 |
| 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 | Iliana Neumann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508075185 PECOS PAC ID: 5496845893 Enrollment ID: I20230907001279 |
| Provider Name | Mary Forch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992343099 PECOS PAC ID: 0648623553 Enrollment ID: I20240126003141 |
| Provider Name | Jeannie Waytovich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629844808 PECOS PAC ID: 3779926183 Enrollment ID: I20240214003616 |
Elena Isenbergh, Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6224 Montrose Rd, Rockville, MD 20852 Phone: 202-701-0060 Fax: 301-230-1897 | |
Under One Roof Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 751 Twinbrook Pkwy, Suite 211, Rockville, MD 20851 Phone: 240-777-3894 | |
Apha Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12345 Parklawn Dr Ste 200r31, Rockville, MD 20852 Phone: 240-889-3868 Fax: 501-222-6141 | |
Kamalinee Deshpande Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6001 Lux Ln, Rockville, MD 20852 Phone: 301-493-6866 | |
Montgomery County Maryland Government Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4910 Macon Rd, Rockville, MD 20852 Phone: 240-740-4430 Fax: 301-468-4532 | |
My Np Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7668b Standish Pl # 18, Rockville, MD 20855 Phone: 301-920-7060 | |
Mc Pelvic Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14101 Manorvale Rd, Rockville, MD 20853 Phone: 301-956-6411 |