Shady Grove Minimally Invasive
NPI 1083974307 · Specialist · Gaithersburg, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shady Grove Minimally Invasive is a Specialist organization in Gaithersburg, MD (NPI 1083974307).
Provider details
- NPI number
- 1083974307
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Shabnam Dadgar, Owner(703) 868-1235
- License
- D0072779 (MD)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Shabnam Dadgar
Registry dates
- Enumerated
- 2012-05-21
- Last updated
- 2025-12-24
- Certified
- 2025-12-24
Frequently asked questions
- What is Shady Grove Minimally Invasive's NPI number?
- Shady Grove Minimally Invasive's National Provider Identifier (NPI) is 1083974307, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shady Grove Minimally Invasive?
- Shady Grove Minimally Invasive is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Shady Grove Minimally Invasive located?
- Shady Grove Minimally Invasive's practice location on file with NPPES is 10810 Darnestown Rd Ste 202, Gaithersburg, MD 20878-2601.
- What is Shady Grove Minimally Invasive's phone number?
- The practice phone number listed in the NPPES registry for Shady Grove Minimally Invasive is (240) 912-4546.
- Does Shady Grove Minimally Invasive accept Medicare?
- Shady Grove Minimally Invasive is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Shady Grove Minimally Invasive?
- The authorized official listed on Shady Grove Minimally Invasive's NPPES record is Shabnam Dadgar, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shady Grove Minimally Invasive's NPI active?
- Yes — Shady Grove Minimally Invasive's NPI (1083974307) is active in the NPPES registry as of the last update on 2025-12-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.