NPI 1164307286 · live from the CMS NPI Registry
Medical Faculty Associates INC
Internal Medicine in Fort Washington, MD. National Provider Identifier 1164307286, active.
NPI record
| NPI | 1164307286 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine 207R00000X |
| Practice location | 11711 Livingston Rd, Fort Washington, MD 20744 |
| Practice phone | 202-741-3350 |
| Mailing address | 2150 Pennsylvania Ave Nw Ste 10-409a, Washington, DC 20037 |
| Enumerated | August 7, 2025 |
| Last updated | August 7, 2025 |
| Authorized official | Kimberly Collic, Senior Director Revenue Cycle |
| Other names | Gw Medical Faculty Associates |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology | 207L00000X | — |
| Dermatology | 207N00000X | — |
| Orthopaedic Surgery | 207X00000X | — |
| Otolaryngology | 207Y00000X | — |
| Pathology, Blood Banking & Transfusion Medicine | 207ZB0001X | — |
| Pediatrics | 208000000X | — |
| Plastic Surgery | 208200000X | — |
| Radiology, Body Imaging | 2085B0100X | — |
| Surgery | 208600000X | — |
| Dermatology, Dermatopathology | 207ND0900X | — |
| Emergency Medicine | 207P00000X | — |
| Medical Genetics, Clinical Genetics (M.D.) | 207SG0201X | — |
| Obstetrics & Gynecology | 207V00000X | — |
| Ophthalmology | 207W00000X | — |
| Internal Medicine primary | 207R00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.