MONTGOMERY SPORTS MEDICINE CENTER
NPI 1538392964
Family Medicine - Sports Medicine in Silver Spring, MD

Q: What is Eran Kessous MD PC's NPI number?

The NPI number for Eran Kessous MD PC is 1538392964. It was assigned to this organization in the NPPES registry on September 2, 2009. The provider is doing business as Montgomery Sports Medicine Center.

Q: What is Eran Kessous MD PC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Active since September 02, 2009

11120 NEW HAMPSHIRE AVE, STE 411, SILVER SPRING, MD 20904(301) 754-0505(301) 754-0509 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 9, 2024, May 7, 2019, Nov 19, 2018 and 1 more (4 updates tracked since 2015).

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About Montgomery Sports Medicine Center NPPES

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

MONTGOMERY SPORTS MEDICINE CENTER (NPI 1538392964) is a healthcare organization registered as a sports medicine in Silver Spring, Maryland and active in the NPI registry since September 2009. The organization maintains a secondary practice location in Gaithersburg and lists Eran Kessous, Director, as its authorized official.

NPPES Registry Identity

NPI1538392964

Entity TypeOrganization

Primary Taxonomy207QS0010X

Legal Business NameERAN KESSOUS MD PC

Location Address11120 NEW HAMPSHIRE AVE, STE 411Silver Spring, MD 20904-2604

Mailing Address11120 New Hampshire Ave Ste 411Silver Spring, MD 20904-2604 · (301) 754-0505 · Fax (301) 754-0509

Phone(301) 754-0505

Fax(301) 754-0509

Organization SubpartNo

Authorized OfficialEran KessousDirector · (301) 754-0505

Enumeration DateSeptember 2, 2009

Last NPPES UpdateOctober 9, 20244 updates tracked since enumeration

NPPES CertifiedOctober 9, 2024

✔ NPI 1538392964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in MD · D0066523

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

11120 NEW HAMPSHIRE AVE, Silver Spring, MD 20904

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Other Names 1

Doing Business AsMontgomery Sports Medicine Center

Secondary Practice Location 1

Location 1800 S Frederick Ave, Suite 110Gaithersburg, MD 20877-4151 · Phone (301) 754-0505 · Fax (301) 754-0509

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Montgomery Sports Medicine Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 3 clinicians reassign Medicare billing to Montgomery Sports Medicine Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Jonathan Lawless, D.O.

Sports Medicine

NPI 1053677518

11120 NEW HAMPSHIRE AVE STE 411
Silver Spring, MD 20904

(301) 754-0505

✔ PECOS✔ Accepts MedicareSame address

Eran Kessous, M.D.

Sports Medicine

NPI 1821033358

11120 NEW HAMPSHIRE AVE SUITE 411
Silver Spring, MD 20904

(301) 754-0505

✔ PECOS✔ Accepts MedicareSame address

Mohammad Khubaib, M.D.

Sports Medicine

NPI 1477084440

1741 E BARDIN RD
Arlington, TX 76018

(817) 702-8700

✔ PECOS1,207 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 Eran Kessous MD PC's NPI number?

The NPI number for Eran Kessous MD PC is 1538392964. It was assigned to this organization in the NPPES registry on September 2, 2009. The provider is doing business as Montgomery Sports Medicine Center.

Where is Eran Kessous MD PC located?

Eran Kessous MD PC is located at 11120 New Hampshire Ave Ste 411, Silver Spring, MD 20904. The listed phone number is (301) 754-0505.

What is Eran Kessous MD PC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Eran Kessous MD PC enrolled in Medicare?

Yes. Eran Kessous MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Eran Kessous MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Sports Medicine, reassign their Medicare billing to Eran Kessous MD PC. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Eran Kessous MD PC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 27 other insurers list Eran Kessous MD PC 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 Eran Kessous MD PC was last updated on October 9, 2024. 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.