Provider Demographics
NPI:1790780351
Name:CHASEN, RICHARD M (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:M
Last Name:CHASEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10770 COLUMBIA PIKE STE 400
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-4462
Mailing Address - Country:US
Mailing Address - Phone:240-485-5210
Mailing Address - Fax:301-625-6906
Practice Address - Street 1:7350 VAN DUSEN RD
Practice Address - Street 2:STE 210
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5268
Practice Address - Country:US
Practice Address - Phone:301-498-5500
Practice Address - Fax:301-498-7346
Is Sole Proprietor?:No
Enumeration Date:2005-06-20
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0022862207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCA1110005OtherCAREFIRST BCBS DC
MDP00679070OtherRAILROAD MEDICARE
MDN5630028OtherCAREFIRST MD/DC
MD558421300Medicaid
MD111914998OtherRAILROAD MEDICARE
MD411880-01OtherCAREFIRST BSMD
DC2516-0004OtherCAREFIRST BSDC
DCA1130006OtherCAREFIRST BCBS DC
MD558421300Medicaid
DC134441Medicare PIN
MDS553923Medicare PIN
MD135994Medicare PIN