RIVERSIDE MEDICAL ASSOCIATES PA (NPI# 1730132648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730132648 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE MEDICAL ASSOCIATES PA |
| Other Organization Name | NONE |
| Practice Address |
6502 Kenilworth Ave Suite 100 Riverdale MD 20737-1370 |
| Practice Telephone | 3019270088 |
| Practice Fax Number | 3019277239 |
| Mailing Telephone | 3019270088 |
| Mailing Fax Number | 3019277239 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2009-01-08 |
| Authorized Official Name | MADHU MOHAN KATIKINENI (PRESIDENT) |
| Authorized Official Telephone | 3019270088 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians | ||
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 299741000 | 05 |
| Other Name | Type Code |
|---|---|
| NONE | Doing Business As Name - Organization |
| Street Address |
6502 KENILWORTH AVE SUITE 100 |
| City | RIVERDALE |
| State | MD |
| Zip Code | 20737-1370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194778019 | Vilma Mascarenhas | Internal Medicine | 6502 Kenilworth Ave, Suite 100, Riverdale, MD 20737-1340 | 2006-05-19 |
| 1891974838 | Surgical Associates Chartered | Surgery | 6502 Kenilworth Ave, Suite 100, Riverdale, MD 20737-1340 | 2007-10-26 |
| 1659568202 | Surgical Associates Chartered | Surgery | 6502 Kenilworth Ave, Suite 200, Riverdale, MD 20737-1340 | 2007-09-27 |
| 1629016076 | University Center for Ambulatory Surgery, LLC | Clinic/Center | 6502 Kenilworth Ave, Suite 200, Riverdale, MD 20737-1340 | 2006-06-04 |
| 1437103595 | Mangal Katikineni | Internal Medicine | 6502 Kenilworth Ave, Suite 100, Riverdale, MD 20737-1340 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382182 | Sharde K Berry | Home Health Aide | 5913 40th Ave, Riverdale, MD 20737 | 2020-10-08 |
| 1083238885 | Stanley A Mbakwa | Home Health Aide | 5702 Singnate Ln., Riverdale, MD 20737 | 2020-06-08 |
| 1033694542 | Millicent Conteh | Home Health Aide | 6833 Riverdale Road Apt 201c, Riverdale, MD 20737 | 2018-10-01 |
| 1831675388 | Violet Horsfall Osai | Home Health Aide | 5519 Nicholson Street, 202, Riverdale, MD 20737 | 2018-07-18 |
| 1801329867 | Zainab Bangura | Home Health Aide | 6831 Riverdale Road, C201, Riverdale, MD 20737 | 2017-04-06 |
| 1770035768 | Sheila Acheampong | Occupational Therapy Assistant | 4409 East West Hway, Riverdale, MD 20737 | 2016-10-26 |
| 1346614070 | Onyemauwa Mowjoodi | Licensed Vocational Nurse | 6823b Riverdale Rd # B2, Riverdale, MD 20737 | 2015-11-18 |
| 1841677531 | Andre Demetrius Brown Jr. | Home Health Aide | 4706 Oliver Street, Riverdale, MD 20737 | 2015-05-01 |
| 1568866713 | Claudia Alicia Garcia | Pharmacist | 5707 Riverdale Road, Cvs Pharmacy 1453, Riverdale, MD 20737 | 2014-10-17 |
| 1487054870 | Kilimot Emiola | Home Health Aide | 6139 64th Ave., Apt 3, Riverdale, MD 20737 | 2014-09-04 |
| Find all providers in zip 20737 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194778019 | Vilma Mascarenhas | Internal Medicine | 6502 Kenilworth Ave, Suite 100, Riverdale, MD 20737-1340 | 2006-05-19 |
| 1235182163 | Madhu Mohan Katikineni | Internal Medicine | 6510 Kenilworth Ave Ste 1200, Riverdale, MD 20737 | 2006-05-19 |
| 1285839415 | Joan Parambi | Internal Medicine | 6502 Kenilworth Ave Ste 100, Riverdale, MD 20737-1372 | 2007-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477102309 | Lifebridge Suburban Physicians Group, LLC | Internal Medicine | 4 W Rolling Cross Road, Suite 100, Catonsville, MD 21228-6280 | 2019-09-04 |
| 1285282046 | Lee Scott Weinstein | Internal Medicine | 10 Center Drive Bldg 10 Rm8c101, Bethesda, MD 20892-0001 | 2019-08-26 |
| 1811453475 | Leila Shobab | Internal Medicine | 5514 Greentree Rd, Bethesda, MD 20817-3548 | 2019-02-19 |
| 1558825307 | Ideal Endocrinology LLC | Internal Medicine | 3000 Chestnut Ave Ste 202, Baltimore, MD 21211-2794 | 2019-01-25 |
| 1912475633 | Jocelyn Uriostegui | Internal Medicine | 108 Forbes St # 2, Annapolis, MD 21401-1502 | 2018-11-12 |
| 1104300334 | Johns Hopkins University | Internal Medicine | 1700 N Caroline St, Baltimore, MD 21213-2204 | 2018-09-24 |
| 1356857643 | Capital Diabetes & Endocrine Associates LLC | Internal Medicine | 5801 Allentown Rd Ste 500, Camp Springs, MD 20746-4518 | 2017-12-21 |
| 1427567163 | Phillip Gorden | Internal Medicine | 10 Center Dr Building 10/crc Room 6-5940, Bethesda, MD 20892-0001 | 2017-09-26 |
| 1366986739 | Maryland Medical Center, LLC | Internal Medicine | 8100 Sandpiper Cir Ste 100, Nottingham, MD 21236-5028 | 2016-12-05 |
| 1174079180 | Theresa Kehoe | Internal Medicine | 11712 Lovejoy St, Silver Spring, MD 20902-1637 | 2016-08-30 |
| Find all providers with the same taxonomy | ||||
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| 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.