1. Home
  2. Directory
  3. Maryland
  4. Gaithersburg
  5. Family Medicine
  6. NPI Profile

BERTHA CECILIA VELANDIA RUBIANO MD
NPI 1295945830
Family Medicine in Gaithersburg, MD

Active since May 23, 2007PECOS Enrolled
800 S FREDERICK AVE STE 110, GAITHERSBURG, MD 20877(301) 208-2273(855) 313-1249 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 12, 2024, Apr 9, 2021, Jan 23, 2016 (3 updates tracked since 2016).

About Bertha Cecilia Velandia Rubiano Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BERTHA CECILIA VELANDIA RUBIANO MD (NPI 1295945830) is an individual family medicine provider in Gaithersburg, Maryland, licensed in Maryland (D0077073) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295945830
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameBERTHA CECILIA VELANDIA RUBIANOCredential: MD
Location Address800 S FREDERICK AVE STE 110Gaithersburg, MD 20877-4151
Mailing Address10801 Lockwood Dr Ste 160Silver Spring, MD 20901-1586 · (301) 298-1040
Phone(301) 208-2273
Fax(855) 313-1249
Sole ProprietorNo
Enumeration DateMay 23, 2007
Last NPPES UpdateDecember 12, 20243 updates tracked since enumeration
NPPES CertifiedDecember 12, 2024
✔ NPI 1295945830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in MD · D0077073✔ Licensed in TN · 44974
Definition
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.
800 S FREDERICK AVE STE 110, Gaithersburg, MD 20877
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bertha Cecilia Velandia Rubiano Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Bertha Velandia Rubiano reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Privia Care Center LLC
20 mi
Internal Medicine
950 N GLEBE RD, SUITE 4000
Arlington, VA 22203
  • Reassigned Medicare billing, District of Columbia enrollment
  • 242 clinicians in this Medicare group
NPI 1164874426 (571) 366-8850
Privia Medical Group, LLC
20 mi
Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,534 clinicians in this Medicare group
NPI 1013042480 (571) 366-8850

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
50 services31 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
40 services35 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services12 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20877 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOSHE DORFMAN
Nurse Practitioner (Family)
800 S FREDERICK AVE STE 110
GAITHERSBURG, MD 20877
Montgomery County (301) 208-2273
ERAN KESSOUS MD PC
Durable Medical Equipment & Medical Supplies
800 S FREDERICK AVE STE 110
GAITHERSBURG, MD 20877
Montgomery County (301) 754-0505
DR. GWEN D STAMPER DSC PT
Physical Therapist
800 S FREDERICK AVE STE 110
GAITHERSBURG, MD 20877
Montgomery County (301) 208-7723
ERAN KESSOUS MD PC
Internal Medicine (Sports Medicine)
800 S FREDERICK AVE STE 110
GAITHERSBURG, MD 20877
Montgomery County (301) 754-0505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bertha Velandia Rubiano's NPI number?

The NPI number for Bertha Velandia Rubiano is 1295945830. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Bertha Velandia Rubiano located?

Bertha Velandia Rubiano practices at 800 S Frederick Ave Ste 110, Gaithersburg, MD 20877. The listed phone number is (301) 208-2273.

What is Bertha Velandia Rubiano's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bertha Velandia Rubiano enrolled in Medicare?

Yes. Bertha Velandia Rubiano is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Bertha Velandia Rubiano's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bertha Velandia Rubiano reassigns Medicare benefits to 2 organizations: Privia Care Center LLC (Arlington, VA) and Privia Medical Group, LLC (Arlington, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bertha Velandia Rubiano's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bertha Velandia Rubiano accept?

Health plans from Oscar Health list Bertha Velandia Rubiano as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bertha Velandia Rubiano was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.