AFSANEH GOLBAN AGACNP-BC
NPI 1508630369
Registered Nurse - Gerontology in Germantown, MD
About Afsaneh Golban Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AFSANEH GOLBAN AGACNP-BC (NPI 1508630369) is an individual gerontology provider in Germantown, Maryland, licensed in Maryland (R236897) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (2023).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Afsaneh Golban Agacnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Afsaneh Golban reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rockville, MD 20850
- Reassigned Medicare billing, District of Columbia enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Afsaneh Golban's NPI number?
The NPI number for Afsaneh Golban is 1508630369. It was assigned to this individual provider in the NPPES registry on November 13, 2023.
Where is Afsaneh Golban located?
Afsaneh Golban practices at 12104 Red Admiral Way, Germantown, MD 20876. The listed phone number is (202) 413-2849.
What is Afsaneh Golban's specialty?
The primary specialty registered for this NPI is Registered Nurse, specializing in Gerontology, with taxonomy code 163WG0600X.
Is Afsaneh Golban enrolled in Medicare?
Yes. Afsaneh Golban is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Afsaneh Golban's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Afsaneh Golban reassigns Medicare benefits to Ajit P Kuruvilla MD LLC (Rockville, MD). The 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 Afsaneh Golban's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Afsaneh Golban was last updated on November 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Afsaneh Golban, AGACNP-BC · NPI 1508630369
Gerontology provider in Germantown, Maryland. Individual provider, active in the CMS NPPES registry since November 13, 2023.
## Identity
- **NPI:** 1508630369 (Entity type: Individual)
- **Enumerated:** November 13, 2023
- **Primary specialty:** Registered Nurse - Gerontology · taxonomy 163WG0600X
- **State license:** R236897 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 12104 RED ADMIRAL WAY, Germantown, MD 20876-5938
- **Phone:** (202) 413-2849
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ajit P Kuruvilla MD LLC (NPI 1801131024, Rockville, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** George Washington University School Of Medicine, class of 2023
## Record status
- **NPPES last updated:** November 13, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1508630369) · Data from the CMS NPPES public registry.