| Greenspring Medical Center | |
|
7440 Spring Village Dr Springfield VA 22150-4446 | |
| (703) 923-4644 | |
| (703) 923-4625 |
| Full Name | Greenspring Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 7440 Spring Village Dr, Springfield, Virginia |
| Authorized Official Name and Position | Matthew J Narrett (SENIOR VP AND CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 4104022257 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenspring Medical Center 5730 Executive Dr Ste 230 Catonsville MD 21228-1762 Ph: (703) 923-4644 | Greenspring Medical Center 7440 Spring Village Dr Springfield VA 22150-4446 Ph: (703) 923-4644 |
| NPI Number | 1609896489 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 08/10/2023 |
| Certification Date | 08/10/2023 |
| Medicare PECOS PAC ID | 1153314067 |
|---|---|
| Medicare Enrollment ID | O20040406001506 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609896489 | NPI | - | NPPES |
| 04-53885 | Other | EVERCARE | |
| 350541 | Other | BCBS | |
| LS89SE | Other | BCBS VA | |
| 0006 | Other | CAREFIRST OF DC | |
| 5374 | Other | BCBS DC | |
| 346802 | Other | CAREFIRST OF MD |
| Provider Name | Matthew J Keast |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376505842 PECOS PAC ID: 6305743451 Enrollment ID: I20031216000917 |
| Provider Name | Tariq Khurshid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427119965 PECOS PAC ID: 9335187384 Enrollment ID: I20051005001209 |
| Provider Name | Lakshmi R Bhagavathula |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245239433 PECOS PAC ID: 8325068059 Enrollment ID: I20051128000167 |
| Provider Name | Kamaljit Sethi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275587362 PECOS PAC ID: 5799707014 Enrollment ID: I20081104000691 |
| Provider Name | Annie T Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578666715 PECOS PAC ID: 7810052115 Enrollment ID: I20090220000368 |
| Provider Name | Rizwan Q Dar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699881631 PECOS PAC ID: 6002896495 Enrollment ID: I20091113000078 |
| Provider Name | Thomas F Morris |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1326056045 PECOS PAC ID: 6901861251 Enrollment ID: I20120124000393 |
| Provider Name | Tushar C Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598871659 PECOS PAC ID: 5991699878 Enrollment ID: I20140612001617 |
| Provider Name | Jose Noel P Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992925671 PECOS PAC ID: 9931320744 Enrollment ID: I20161105000227 |
| Provider Name | Kathleen S Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437694551 PECOS PAC ID: 3274818125 Enrollment ID: I20170316001271 |
| Provider Name | Kauser Kaleem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073025375 PECOS PAC ID: 6103171764 Enrollment ID: I20180622000188 |
| Provider Name | Emmaleona Ego Agogbua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083277784 PECOS PAC ID: 0840629408 Enrollment ID: I20200401003595 |
| Provider Name | Sejal Patel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1841712643 PECOS PAC ID: 9537551528 Enrollment ID: I20220125002315 |
| Provider Name | Niraj Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932145422 PECOS PAC ID: 8628069382 Enrollment ID: I20221224000027 |
| Provider Name | Sadya Gouni Bouraima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366205668 PECOS PAC ID: 4385083047 Enrollment ID: I20240415003417 |
| Provider Name | Kamala Sapkota |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295423747 PECOS PAC ID: 1557882974 Enrollment ID: I20250311000159 |
| Provider Name | Deevya L. Narayanan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033461371 PECOS PAC ID: 9830497726 Enrollment ID: I20250616001218 |
| Provider Name | Shaveta Kotwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841492733 PECOS PAC ID: 2163588500 Enrollment ID: I20250618001677 |
| Provider Name | Blandine Yacinthus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063923308 PECOS PAC ID: 3779097894 Enrollment ID: I20250709003289 |
| Provider Name | Shelby Kienzle-pappalardo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134826282 PECOS PAC ID: 2062916992 Enrollment ID: I20250916000109 |
| Provider Name | Catherine a Buck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083635734 PECOS PAC ID: 5294216727 Enrollment ID: I20260224000074 |
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