Appendix B (Active Providers)
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Appendix B (Active Providers) DC Provider ID NPI TAXONOMY SORT NAME TYPE 010000300 1174526792 332B00000X AMERICAN MEDICAL EQUIPMENT, INC. I00 010007207 1659561892 207R00000X YOON JEANIE C A00 010008055 1962630798 207L00000X NAGAVELLI HARIKA A00 010017074 1215983853 193200000X BALTIMORE WASHINGTON EMERGENCY PHYS A01 010017400 1255486221 207RR0500X WILSON JR RICHARD A A00 010025500 1508878414 207QA0505X CHACKO ACHANKUNJU A MD A00 010029600 1134180128 207RG0100X HORWITZ STUART L MD A00 010033600 1699828129 207RN0300X GUPTA KAMLESH A00 010037037 1477872158 207RG0100X WILSON NICHOLAS J A00 010037037 1477872158 207R00000X WILSON NICHOLAS J A00 010040039 1194712208 2084N0400X ROSS JONATHAN A00 010044100 1790759124 2080P0206X DUFFY LYNN F A00 010048022 1598078990 207RH0003X HAROUN FAYSAL A00 010048152 1710407838 122300000X HIJAZI SUBEA K00 010058038 1316172489 207W00000X SHAH DEEPIKA N A00 010060023 1588962369 363LA2200X GOING KAREN S00 010062028 1073755765 207RH0003X GONDEK LUKASZ P A00 010066900 1982786513 207RI0200X MAXWELL CELIA J A00 010070900 1730125337 207R00000X WILKERSON JOEL H MD A00 010073273 1477967560 207R00000X KUMAR NISHANT A02 010077054 1912177049 193200000X NATIONAL CAPITAL NEPHROLOGY, PC A01 010077054 1912177049 207RN0300X NATIONAL CAPITAL NEPHROLOGY, PC A01 010078200 1194821470 207RC0000X EDWARDS ALLISON R MD A00 010088038 1952626335 207X00000X THAKKAR SAVYASACHI C A00 010088058 1720430580 367500000X MOORE NICOLE K S00 010088158 1174890438 367500000X NAVARRO JACOB T S00 010095052 1720328206 363L00000X BOSWELL CHERRON S00 010097037 1114368206 363LA2100X CHRISTIE SYLVIA S00 010108051 1497947733 213E00000X COHEN BENJAMIN A04 010113058 1184079188 1223P0221X EMAMIAN MAHDI S K00 010127056 1326127770 207ZP0102X NGUYEN CUONG A00 010130800 1003906488 208000000X KAZMI RUMANA H A00 010134900 1649362120 207RP1001X SPAGNOLO SAMUEL A00 010137223 1720399934 207P00000X DONNELLY COLIN A02 010142100 1548257769 207RI0200X SHAH GITA K A00 010150052 1265775548 208000000X ELLIOTT BETHANY A00 010152700 1467412510 207KA0200X NICKLAS RICHARD A A00 010153075 1235687781 363L00000X CROWDER KASEY S00 010154300 1215008982 207RN0300X GUPTA YUDH V M D A00 010157056 1457798217 207Q00000X HWU SHI-WEI S A00 010160800 1043219942 207L00000X TRAN DUNG Q MD A00 010164900 1710991377 2085R0202X NARANG ANIL K A00 010165037 1568872695 363L00000X RUSSELL NAILA C S00 010170055 1588654289 193200000X JHU-WILMER EYE INSTITUTE A01 010177279 1376822064 122300000X NKUTU KIRUNDA MOHAMMED K00 010180200 1235186487 207RC0000X SEARS-ROGAN PAMELA MD A00 010183035 1417073131 207RE0101X JHA LEENA A00 010184300 1881606770 208600000X EL-SAID ABDEL A M D A00 010187056 1144596198 251B00000X CONTEMPORARY FAMILY SERVICES W02 010187600 1770642910 207R00000X WHITE-COLEMAN DEBRA L A00 010190058 1225459936 193400000X PAIN AND WELLNESS CENTER OF MARYLAN A02 010212086 1467429340 2084N0400X BANSIL SHALINI M A00 010223031 1083085690 363LF0000X HATLEY CINDY L S00 010227052 1003108457 2085R0202X THOMAS JENNIFER A00 010227200 1295805448 207RC0000X KATZ RICHARD J A00 010235300 1639145147 213ES0131X MCDOWELL VESTA D A04 010239400 1164537676 2084N0400X WEIR ROGER L A00 010249100 1255423752 207RN0300X LEW SUSIE Q A00 010250157 1871662551 2084P0800X BARBOT HENRY A00 010250157 1871662551 261QM0801X BARBOT HENRY A00 010251500 1033103411 207Q00000X GORALSKI ROBERT A M D A00 010252300 1285627604 207Q00000X JOHNSON THOMAS G M D A00 010258900 1154498624 208000000X RATNER JUDITH B A00 010268600 1558312926 207RP1001X LEVIT PETER A00 010287032 1992944847 363LF0000X FLETCHER MARIECHANTAL S00 010298036 1861835449 207R00000X IZZELDIN SARIA A00 010306600 1902861354 207W00000X FLEISCHER ERIC J MD A00 010308302 1831484344 207P00000X GREEN ERIC A02 010309900 1114917820 2085R0202X GHARIB MOHSEN A00 010311400 1679583058 213E00000X ARONS BARRY H DPM A04 010324400 1154321909 2084N0400X SIRDOFSKY MICHAEL D MD A00 010328500 1003870841 213E00000X RAVICK ARNOLD S A04 010337074 1134448087 207L00000X QUINT JAMES D A00 010338032 1528400454 235Z00000X WELLSPRING THERAPY SERVICES M00 010340036 1750563623 207R00000X TEREFE-GIFAWOSSEN EJEGAYEHU A00 010343900 1871663146 207RC0000X WEGLICKI WILLIAM B A00 010345055 1043638810 207R00000X KUMAR RISHI A00 010353076 1831168269 208G00000X RONGIONE ANTHONY J A00 010370176 1114245990 2085R0202X CHO JOHN A00 010371400 1992864177 207RG0300X MATHUR RAJ P M D A00 010379600 1083726723 213ES0103X BACH BRIAN A04 010385052 1417241183 2085R0202X EGO-OSUALA ISLAMIAT O A00 010387027 1942591078 207P00000X SMITH CHRISTOPHER A00 010404600 1205803343 207R00000X SAINI PRITAM S A00 010407039 1285697193 208600000X COHEN ROBERT A A00 010408037 1457398307 207L00000X FALLON SCOTT L A00 010410052 1821002601 207R00000X SHAH HEMEN P A00 010414300 1588623409 207R00000X EL-BAYOUMI JEHAN A00 010415100 1053395871 2085R0202X SMITH EDWARD N A00 010418034 1386631810 207P00000X JHU-EMERGENCY MEDICINE A01 010430035 1629331830 2085R0202X FURSEVICH DZMITRY A00 010453200 1144265349 207N00000X HALDER REBAT M A00 010457033 1205975257 3336C0003X CURANT HEALTH FLORIDA LLC H00 010457033 1205975257 3336C0004X CURANT HEALTH FLORIDA LLC H00 010457033 1205975257 3336M0002X CURANT HEALTH FLORIDA LLC H00 010457033 1205975257 3336S0011X CURANT HEALTH FLORIDA LLC H00 010457033 1205975257 333600000X CURANT HEALTH FLORIDA LLC H00 010457073 1134200363 2085R0202X GUJAR SACHIN A00 010457083 1386083343 207R00000X JONNALAGADDA ANIL K A00 010460055 1255724456 207P00000X WINATA VIOLA I A00 010460055 1255724456 208000000X WINATA VIOLA I A00 010462031 1669852083 152W00000X SEEVARATNAM RAJINI N00 010467059 1467694695 2085R0202X HUNG JESSICA A00 010473055 1992036651 2085R0202X LIEBENGOOD SERENA A00 010473075 1750330288 207Q00000X CLARK BARRY P A00 010477600 1326019589 207VM0101X MIMS OSCAR L A00 010487053 1174751101 2084P0800X ANDERSON ASHLEIGH A00 010502600 1295733384 207RG0100X AL-KAWAS FIRAS A00 010505900 1467470872 208000000X MILLICENT COLLINS A00 010508053 1649546995 207R00000X SHAH MITESH A00 010512300 1982894481 2084P0802X SYPHAX JOHN L A00 010515056 1962702001 207VX0000X MARTIN ASHLEY M A00 010515600 1205883881 208800000X AJRAWAT HARBHAJAN S MD A00 010516400 1699811349 208800000X PHILLIPS MICHAEL H MD A00 010532036 1689820847 207L00000X CHANG YONMEE A00 010533154 1255593968 2085R0202X TSAI SALINA A00 010534200 1477630820 2080N0001X REVENIS MARY V M D A00 010536700 1447207253 2080N0001X BRUDNO DOUGLAS S M D A00 010539100 1740298553 207R00000X AHADAMIRI HOMAIRA A00 010543071 1275950396 207Q00000X DE MATA JERICHO M A00 010545036 1669911442 363LF0000X CNOSSEN LESLIE A S00 010545076 1366588535 207Q00000X GARBER SETH M A00 010555300 1376606566 207RG0100X MYLES ELIZABETH A00 010557038 1710120175 2085R0202X WERNER JOHN A00 010567035 1043307242 3336C0003X 904 PROSPECT PHARMACY INC DBA BOCA H00 010568053 1689809188 207RH0003X MARKOWSKI MARK A00 010573031 1407075898 363A00000X ARNSBERGER KAY A07 010575056 1629072434 174400000X SCHWARTZ KENNETH A00 010575076 1063573533 207V00000X GARRETT STACEY A A00 010577052 1336305622 207Q00000X MENON ANJU A00 010578039 1962776278 207ZP0102X XING DONGMEI A00 010580054 1073694485 363LA2200X MYERS MELISSA L S00 010583037 1780115345 363L00000X OLUWOLE FUNMILAYO S00 010583057 1710140140 207V00000X WANG JENNY A00 010585073 1821394362 2085R0204X SRINIVAS ABHISHEK A00 010588036 1104104629 2080N0001X SALNAVE JOAN A00 010588156 1982860060 207R00000X FOSTER REBECCA A00 010593054 1518301076 207R00000X ALSAMARA LAMA A00 010595029 1669507877 207RC0000X SHAH MEENA A00 010595179 1235557208 207R00000X PAWLOWSKI JOSEPH P A00 010597055 1093920035 363LA2100X DE LA ROSA CARMEN N S00 010602032 1851330559 207RE0101X FELDMAN IRENE A00 010602032 1851330559 207R00000X FELDMAN IRENE A00 010607201 1467492355 2085R0202X KAMEL IHAB A00 010608058 1083035133 363L00000X SIGLEY CARMEN S00 010609600 1285743880 207RP1001X DAVIS WAYNE P A00 010624100 1316989312 208100000X CHAWLA INDER MD A00 010629900 1841309168 207RC0000X MEHROTRA PRAFULLA P A00 010633039 1871861989 261QS0132X GLOBAL EYE PHYSICIANS AND SURGEONS A01 010647037 1528071503 207L00000X SAFE SEDATION PLLC A01 010648155 1598109829 207L00000X KMIECIK SUSANNA A00 010650039 1669738092 208000000X PATEL AMI A00 010653300 1316986615 207P00000X SCOTT JAMES L M D A00 010655058 1285005363 363LA2200X IONA SENIOR SERVICES W02 010655800 1962402792 207V00000X TCHABO JEAN-GILLES A00 010658032 1659515344 208000000X CHIU JOANNE A00 010660036 1366708810 207R00000X KNIGHT MICHAEL A00 010673276 1225573272 193200000X FAMILY LIFE CENTER FOUNDATION A01 010675032 1497739916 2084P0800X BEHAR DAVID A00 010680039 1437113255 207RX0202X ARMSTRONG DEBORAH A00 010681700 1780799270 213EP1101X GROBAN IRA S DPM A04 010684100 1427066174 207L00000X COLOMABALAGTAS BENEDICTA A00 010688032 1184060428 207P00000X SIDDIQUI ERUM A00 010695055 1669891750 207P00000X AUERBACH HEATHER R A00 010700072 1366827362 261QM2500X SUMIT BHUTANI MD LLC A01 010708204 1750602009 208G00000X SCHATZ TIFFANY A A00 010716500 1740220110 2085R0204X ARWINDEKAR DILIP A00 010722051 1104050756 208000000X COMBS SARAH A00 010722100 1366513889 208600000X MISRA BRAJENDRA N M D A00 010727059 1336484765 2084P0800X AGUILO-SEARA MARIA A00 010728700 1780693598 208100000X MARION PHILIP J A00 010730072 1811159296 2085N0904X YU FANG A00 010738034 1023049764 2085R0202X TAKHTANI DEEPAK A00 010745057 1700220605 207P00000X DAVEY KEVIN A00 010747053 1902191570 207P00000X REDHA WADDAA A00 010750035 1225205651 207VG0400X DENICOLA NATHANIEL G A00 010752031 1033550033 2080P0214X PHULL GURPREET S A00 010753078 1407174766 363LF0000X JOHNSON CHARLESETTA S00 010758077 1184810905