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CAPITOL CARDIOLOGY ASSOCIATES, LLC
NPI 1912883174
Internal Medicine - Cardiovascular Disease in Glenn Dale, MD

Active since August 13, 2025CLIA 21D2075425 · Waiver
12150 ANNAPOLIS RD STE 105, GLENN DALE, MD 20769(301) 805-1250 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Capitol Cardiology Associates, Llc NPPES

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

CAPITOL CARDIOLOGY ASSOCIATES, LLC (NPI 1912883174) is a healthcare organization registered as a cardiovascular disease in Glenn Dale, Maryland and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through March 26, 2028 and lists Rajendra R Shetty, Authorized Offical, as its authorized official.

NPPES Registry Identity

NPI1912883174
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameCAPITOL CARDIOLOGY ASSOCIATES, LLC
Location Address12150 ANNAPOLIS RD STE 105Glenn Dale, MD 20769-9183
Mailing Address8116 Good Luck Rd Ste 305Lanham, MD 20706-3508 · (301) 552-1200
Phone(301) 805-1250
Organization SubpartNo
Authorized OfficialRajendra R ShettyAuthorized Offical · (301) 552-1200
Enumeration DateAugust 13, 2025
NPPES CertifiedAugust 13, 2025
✔ NPI 1912883174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X
12150 ANNAPOLIS RD STE 105, Glenn Dale, MD 20769
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2075425

Capitol Cardiology Associates · Glenn Dale, MD
Active · expires Mar 26, 2028
CLIA Number21D2075425
Laboratory TypePhysician Office
Certificate Effective DateMarch 27, 2026
Certificate Expiration DateMarch 26, 2028
Laboratory DirectorNader A. Dakak
Laboratory Phone(301) 522-1200
Laboratory LocationCapitol Cardiology Associates12150 Annapolis Road Suite 105, Glenn Dale, MD 20769
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

AUDREY OLIVIA WHITE DNP, FNP-C
Nurse Practitioner (Family)
12150 ANNAPOLIS RD STE 105
GLENN DALE, MD 20769
Prince George's County (240) 460-1988
NADER A DAKAK MD
Internal Medicine (Cardiovascular Disease)
12150 ANNAPOLIS RD STE 105
GLENN DALE, MD 20769
Prince George's County (301) 805-1250

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 Capitol Cardiology Associates, LLC's NPI number?

The NPI number for Capitol Cardiology Associates, LLC is 1912883174. It was assigned to this organization in the NPPES registry on August 13, 2025.

Where is Capitol Cardiology Associates, LLC located?

Capitol Cardiology Associates, LLC is located at 12150 Annapolis Rd Ste 105, Glenn Dale, MD 20769. The listed phone number is (301) 805-1250.

What is Capitol Cardiology Associates, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Capitol Cardiology Associates, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2075425) is associated with this NPI, valid through March 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Capitol Cardiology Associates, LLC was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.