EAR, NOSE & THROAT SPECIALISTS OF SHADY GROVE, P.C.
NPI 1518914647
Specialist in Rockville, MD

Active since May 26, 2006
9420 KEY WEST AVE, SUITE 430, ROCKVILLE, MD 20850(301) 315-5888(301) 315-5866 Get Directions Write a Review

NPPES record last updated: September 1, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ear, Nose & Throat Specialists Of Shady Grove, P.c. NPPES

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

EAR, NOSE & THROAT SPECIALISTS OF SHADY GROVE, P.C. (NPI 1518914647) is a healthcare organization registered as a specialist in Rockville, Maryland and active in the NPI registry since May 2006. The organization lists J. Renee Moneyhun, President, as its authorized official.

NPPES Registry Identity

NPI1518914647
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameEAR, NOSE & THROAT SPECIALISTS OF SHADY GROVE, P.C.
Location Address9420 KEY WEST AVE, SUITE 430Rockville, MD 20850-3334
Mailing Address9420 Key West Ave, Suite 430Rockville, MD 20850-3334 · (301) 315-5888 · Fax (301) 315-5866
Fax(301) 315-5866
Organization SubpartNo
Authorized OfficialJ. Renee MoneyhunPresident · (301) 315-5888
Enumeration DateMay 26, 2006
Last NPPES UpdateSeptember 1, 2010
✔ NPI 1518914647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
9420 KEY WEST AVE, Rockville, MD 20850

Other Identifiers 2

Medicare ID-Type UnspecifiedG01283MD
Medicaid406347300MD

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ear, Nose & Throat Specialists Of Shady Grove, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Ear, Nose & Throat Specialists Of Shady Grove, P.C., which bills Medicare for the services they deliver. Of these, 3 practice at this address and 8 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Qualified Audiologist5
Otolaryngology4
Nurse Practitioner1

Clinicians, nearest first (10)

Otolaryngology
NPI 1225445968
9420 KEY WEST AVE STE 310
Rockville, MD 20850
(301) 315-5888
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1518330158
9420 KEY WEST AVE STE 310
Rockville, MD 20850
(301) 315-5888
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1396173266
9420 KEY WEST AVE STE 310
Rockville, MD 20850
(301) 315-5888
✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1194000562
9420 KEY WEST AVE STE 310
Rockville, MD 20850
(301) 315-5888
✔ Accepts Medicare0.1 mi
Otolaryngology
NPI 1962880419
9420 KEY WEST AVE STE 310
Rockville, MD 20850
(301) 315-5888
✔ PECOS0.1 mi
Otolaryngology
NPI 1831139062
9420 KEY WEST AVE SUITE 310
Rockville, MD 20850
(301) 315-2111
✔ PECOS✔ Accepts Medicare0.1 mi
Qualified Audiologist
NPI 1003450446
9420 KEY WEST AVE STE 310
Rockville, MD 20850
(301) 315-5888
✔ Accepts Medicare0.1 mi
Otolaryngology
NPI 1003077587
3204 TOWER OAKS BLVD STE 400
Rockville, MD 20852
(301) 315-0003
✔ PECOS✔ Accepts Medicare3.8 mi
Qualified Audiologist
NPI 1902054497
802 LANDMARK DR STE 119
Glen Burnie, MD 21061
(410) 760-8840
✔ Accepts Medicare30 mi
Qualified Audiologist
NPI 1023665098
625 S DUPONT HWY
Dover, DE 19901
(302) 724-6624
✔ Accepts Medicare90 mi

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 Ear, Nose & Throat Specialists Of Shady Grove, P.C.'s NPI number?

The NPI number for Ear, Nose & Throat Specialists Of Shady Grove, P.C. is 1518914647. It was assigned to this organization in the NPPES registry on May 26, 2006.

Where is Ear, Nose & Throat Specialists Of Shady Grove, P.C. located?

Ear, Nose & Throat Specialists Of Shady Grove, P.C. is located at 9420 Key West Ave Suite 430, Rockville, MD 20850. The listed phone number is (301) 315-5888.

What is Ear, Nose & Throat Specialists Of Shady Grove, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Ear, Nose & Throat Specialists Of Shady Grove, P.C. enrolled in Medicare?

Yes. Ear, Nose & Throat Specialists Of Shady Grove, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ear, Nose & Throat Specialists Of Shady Grove, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Ear, Nose & Throat Specialists Of Shady Grove, P.C.. A 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 the clinician's services. The largest specialties are Qualified Audiologist (5), Otolaryngology (4) and Nurse Practitioner (1). Of these, 3 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ear, Nose & Throat Specialists Of Shady Grove, P.C. was last updated on September 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.