Provider Type Icon

DR. CARLOS EUGENIO COVARRUBIAS PONCE MD NPI 1306839469


NPI Information

NPI: 1306839469
Provider Name: DR. CARLOS EUGENIO COVARRUBIAS PONCE, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: PRIVIA CARE CENTER LLC

PECOS Registration: Yes

CLIA Number: 21D1098903

Address:
8121 GEORGIA AVE
SUITE 405
SILVER SPRING, MD
ZIP 20910
Phone: (301) 589-9480
Get Directions

DR. Carlos Eugenio Covarrubias Ponce, MD is a family medicine in Silver Spring, MD with 46 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Carlos Eugenio Covarrubias Ponce, MD NPI is 1306839469. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8121 GEORGIA AVE
SUITE 405
SILVER SPRING, MD
ZIP 20910-933
Phone: (301) 589-9480
Fax: (301) 589-3872

The NPI 1306839469 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 21D1098903 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • Administration of pneumococcal vaccine (HCPCS:G0009)

The enumeration date for this NPI number is 8/24/2005 and was last updated on 3/26/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineD0048290MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G32939MEDICARE UPINMARYLAND
2D0048290OTHERMARYLANDMEDICAL LICENSE
3921346500MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.