Vivek Nag
Internal Medicine (Cardiovascular Disease)

Address: 3510 Old Washington Road, Suite 100, Waldorf, MD 20602-3234
Phone: 3019325890

Vivek Nag (NPI# 1205817459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1205817459
Entity Type Individual
Full Name Vivek Nag
Credential MD
Gender Male
Practice Address 3510 Old Washington Road
Suite 100
Waldorf
MD 20602-3234
Practice Telephone 3019325890
Practice Fax Number 3016456361
Mailing Address 3510 Old Washington Road
Suite 100
Waldorf
MD 20602-3234
Mailing Telephone 3019325890
Mailing Fax Number 3016456361
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2005-11-07
Last Update Date 2012-10-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207RC0000X Internal Medicine · Cardiovascular Disease Allopathic & Osteopathic Physicians D0043070 MD
No 207RC0000X Internal Medicine · Cardiovascular Disease Allopathic & Osteopathic Physicians MD30816 DC

Other Provider Identifier

State Identifier Issuer Type Code
MD 138871100 MEDICAID

Physician Overview

NPI 1205817459
PAC ID by PECOS 2264412972
Professional Enrollment ID I20100715000486
Full Name Vivek Nag
Organization Legal Name HEART CENTER OF SOUTHERN MARYLAND LLP
Phone Number 3019325890
Gender M
Credential MD
Medical School EASTERN VIRGINIA MEDICAL SCHOOL
Graduation Year 1993
Primary Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
Secondary Specialties INTERNAL MEDICINE
Group Practice PAC ID 5193710325
Number of Group Practice Members 4
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
210035 UNIVERSITY OF MD CHARLES REGIONAL MEDICAL CENTER
210062 MEDSTAR SOUTHERN MARYLAND HOSPITAL CENTER

Office Location

Street Address 3510 OLD WASHINGTON ROAD
SUITE 100
City WALDORF
State MD
Zip Code 20602-3234

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770572042 Henriot St Gerard Specialist 3510 Old Washington Road, Second Floor, Waldorf, MD 20603 2005-10-19
1295861235 Susan Caroline Herron Nurse Practitioner 3510 Old Washington Road, Suite 100, Waldorf, MD 20602 2007-02-26
1720191455 Carolyn B Martin Registered Nurse 3510 Old Washington Road, 2nd Floor, Waldorf, MD 20602 2006-08-16
1740261924 Gopalakrishnan Srinivasan Internal Medicine 3510 Old Washington Road, Suite 100, Waldorf, MD 20602-3234 2005-11-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396227039 Lantern Family Services Inc Community/Behavioral Health 11680 Doolittle Dr Ste 111, Waldorf, MD 20602 2018-08-29
1093294910 Metropolitan Vascular Institute LLC Internal Medicine 12070 Old Line Ctr Ste 100, Waldorf, MD 20602 2018-08-10
1174009922 Dr. Arthur B. Sorkin, D.d.s., LLC Dentist 3460 Old Washington Rd., Suite 301-b, Waldorf, MD 20602 2018-07-16
1467945030 Donna Marie Conley-shaw Behavior Technician 16 Pagnell Cir, Waldorf, MD 20602 2018-06-08
1811404296 Loni Berbaum Speech-Language Pathologist 4817 Elmley Pl Apt 315, Waldorf, MD 20602 2018-01-06
1891224853 Linda E Smith Social Worker 605 Pst Office Road, #301, Waldorf, MD 20602 2017-06-05
1104373273 Love Ngum Che Pharmacist 25 Smallwood Village, Waldorf, MD 20602 2016-09-07
1639543341 Matengy Toure Pharmacist 129 St Charles Pkwy, Waldorf, MD 20602 2015-11-18
1154708204 Erin Latrice Palmer Registered Nurse 605 Post Office Rd Ste 102, Waldorf, MD 20602 2015-04-28
1225459936 Pain and Wellness Center of Maryland, LLC Physical Medicine & Rehabilitation 601 Post Office Rd Ste 2a, Waldorf, MD 20602 2013-12-23
Find all providers in zip 20602

Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

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.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760587596 Samuel B Itscoitz Internal Medicine 12070 Old Line Ctr Ste 303, Waldorf, MD 20602-3535 2006-09-14
1386812113 Elizabeth Hurt Internal Medicine 12070 Old Line Ctr, Suite 303, Waldorf, MD 20602-2513 2008-02-14
1265553960 Jerry Salan Internal Medicine 13464 Holly Spring Dr, Waldorf, MD 20601-2329 2007-04-02
1669585113 Chesapeake&washington Heart Care, PC Internal Medicine 12070 Old Line Ctr, Suite 303, Waldorf, MD 20602-2513 2006-08-17
1790702157 Jeffrey B Trabb Internal Medicine 2670 Crain Hwy, Suite 300, Waldorf, MD 20601-2806 2006-07-15
1699714469 Maryland Healthcare Associates LLC Internal Medicine 12070 Old Line Ctr, Suite 100, Waldorf, MD 20602-2513 2006-06-06
1669438933 Terrance A. Collins Internal Medicine 2670 Crain Hwy, Suite 300, Waldorf, MD 20601-2806 2006-04-25
1699746271 Thomas B Haywood Internal Medicine 12070 Old Line Ctr, Suite 303, Waldorf, MD 20602-2513 2006-01-31
1356322598 Satish Jumani Internal Medicine 12070 Old Line Ctr, Suite 202, Waldorf, MD 20602-2513 2005-11-07
1740261924 Gopalakrishnan Srinivasan Internal Medicine 3510 Old Washington Road, Suite 100, Waldorf, MD 20602-3234 2005-11-07
Find all providers in WALDORF

Competitor

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City WALDORF
Zip Code 20602

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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